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E.T. DENTAL LLC

E.T. DENTAL LLC

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Company Details

Name:	E.T. DENTAL LLC
Jurisdiction:	Idaho
Legal type:	Limited Liability Company (D)
Status:	Inactive-Dissolved (Administrative)
Date of registration:	18 Dec 2017 (7 years ago)
Financial Date End:	31 Dec 2024
Date dissolved:	25 Mar 2025
Entity Number:	582475
Place of Formation:	IDAHO
File Number:	582475
ZIP code:	83814
County:	Kootenai County
Principal Address:	2201 N GOVERNMENT WAY #G COEUR D ALENE, ID 83814
Mailing Address:	418 W CAMERON AVE KELLOGG, ID 83837-2111

Agent

Name	Role	Address
TEEMU SCARBOROUGH	Agent	2456 MOUNTAIN VISTA DR, COEUR D ALENE, ID 83815

Member

Name	Role	Address	Appointed On
Teemu Scarborough	Member	418 WEST CAMERON AVENUE, KELLOGG, ID, USA, KELLOGG, ID 83837	2020-11-03

Manager

Name	Role	Address	Appointed On
Aaron Dollahite	Manager	418 WEST CAMERON AVENUE, KELLOGG, ID, USA, KELLOGG, ID 83837	2023-11-03

National Provider Identifier

NPI Number:

1154935039

Certification Date:

2020-09-08

Link:

View on NPI website

Authorized Person:

Name:

AARON DOLLAHITE

Role:

CEO

Phone:

2086990022

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 208-682-4540

Filing

Filing Name	Filing Number	Filing date
Dissolution/Revocation - Administrative	0006170052	2025-03-25
Annual Report	0005458381	2023-11-03
Annual Report	0004995982	2022-11-17
Annual Report	0004485445	2021-11-04
Annual Report	0004050615	2020-11-03

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State