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Green Acres Dental PLLC
Company Details
| Name: |
Green Acres Dental PLLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
24 Sep 2021 (4 years ago)
|
| Financial Date End: |
30 Sep 2025 |
| Entity Number: |
4426454 |
| Place of Formation: |
IDAHO |
| File Number: |
783376 |
| ZIP code: |
83301
|
| County: |
Twin Falls County |
| Principal Address: |
871 GREEN ACRES DR. TWIN FALLS, ID 83301 |
| Mailing Address: |
871 GREEN ACRES DR TWIN FALLS, ID 83301-3353 |
Member
| Name |
Role |
Address |
Appointed On |
|
Justin Cress
|
Member
|
871 GREEN ACRES DR., TWIN FALLS, ID 83301
|
2023-08-03
|
|
Scott Lyman
|
Member
|
871 GREEN ACRES DR., TWIN FALLS, ID 83301
|
2022-09-22
|
Agent
| Name |
Role |
Address |
|
Justin Puckett
|
Agent
|
871 GREEN ACRES DR, TWIN FALLS, ID 83301
|
National Provider Identifier
Certification Date:
2021-11-08
Authorized Person:
Role:
DIRECTOR OF CREDENTIAL
Taxonomy:
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Contacts:
This company hasn't received any reviews.
Date of last update: 20 May 2025
Sources:
Idaho Secretary of State
