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Center for Dental Wellness, PLLC

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Company Details

Name: Center for Dental Wellness, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 23 Apr 2024 (a year ago)
Financial Date End: 30 Apr 2026
Entity Number: 5701599
Place of Formation: IDAHO
File Number: 933219
Principal Address: TAYLOR ZOLLINGER 15805 E 23RD AVENUE SPOKANE VALLEY, WA 99037
Mailing Address: TAYLOR ZOLLINGER 15805 E 23RD AVE SPOKANE VALLEY, WA 99037-9042

Member

Name Role Address Appointed On
TAYLOR ZOLLINGER Member 15805 E. 23RD AVENUE, SPOKANE VALLEY, WA 99037 2025-03-10

Agent

Name Role Address
Paul M. Davis Agent 601 E FRONT AVE, STE 303, COEUR D ALENE, ID 83814

National Provider Identifier

NPI Number:
1609697119
Certification Date:
2024-10-18

Authorized Person:

Name:
TAYLOR ZOLLINGER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006155559 2025-03-10
Amendment to Certificate 0005904165 2024-09-18
Initial Filing 0005701599 2024-04-23

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Date of last update: 22 May 2025

Sources: Idaho Secretary of State