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KELLY E. CARLEN, DDS, PLLC

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Company Details

Name: KELLY E. CARLEN, DDS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 03 Aug 2000 (25 years ago)
Financial Date End: 31 Aug 2012
Date dissolved: 14 Nov 2012
Entity Number: 52024
Place of Formation: IDAHO
File Number: 0000052024
ZIP code: 83686
County: Canyon County
Principal Address: 730 MEGAN CT NAMPA, ID 83686

National Provider Identifier

NPI Number:
1689849598

Authorized Person:

Name:
DR. KELLY EDWARD CARLEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2084656303

Filing

Filing Name Filing Number Filing date
Annual Report 0001122194 2011-06-13
Annual Report 0001122193 2010-07-21
Annual Report 0001122192 2009-06-09
Annual Report 0001122196 2008-08-18
Annual Report 0001122195 2007-07-12

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State