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Matthew F Kunz DDS PLLC Blackfoot

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Company Details

Name: Matthew F Kunz DDS PLLC Blackfoot
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 09 Dec 2022 (2 years ago)
Financial Date End: 31 Dec 2023
Date dissolved: 15 Mar 2024
Entity Number: 5025356
Place of Formation: IDAHO
File Number: 853154
ZIP code: 83221
County: Bingham County
Principal Address: ANGIE 600 JENSEN GROVE DRIVE BLACKFOOT, ID 83221
Mailing Address: ANGIE 600 JENSEN GROVE DR BLACKFOOT, ID 83221-1685

Agent

Name Role Address
Matt Kunz Agent 169 S 1ST E, SODA SPRINGS, ID 83276

National Provider Identifier

NPI Number:
1659078335
Certification Date:
2023-02-13

Authorized Person:

Name:
DR. MATTHEW F KUNZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005649390 2024-03-15
Initial Filing 0005025356 2022-12-09

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Date of last update: 26 Mar 2025

Sources: Idaho Secretary of State