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Smiles for Idaho LLC.

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Company Details

Name: Smiles for Idaho LLC.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 22 Aug 2024 (9 months ago)
Financial Date End: 31 Aug 2025
Entity Number: 5868835
Place of Formation: IDAHO
File Number: 951973
ZIP code: 83607
County: Canyon County
Principal Address: 22351 AURA VISTA WAY CALDWELL, ID 83607
Mailing Address: 22351 AURA VISTA WAY CALDWELL, ID 83607-5528

Agent

Name Role Address
mandy christensen Agent 22351 AURA VISTA WAY, CALDWELL, ID 83607

National Provider Identifier

NPI Number:
1992520431
Certification Date:
2024-11-19

Authorized Person:

Name:
AMANDA CHRISTENSEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
124Q00000X - Dental Hygienist
Is Primary:
No
Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0005868835 2024-08-22

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Date of last update: 23 May 2025

Sources: Idaho Secretary of State