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| Plan Name | WHITE RIVER FAMILY DENTAL ASSOC EMPLOYEE GROUP HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | WHITE RIVER FAMILY DENTAL ASSOCIATES, PC |
| Employer identification number (EIN): | 351649888 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-01-01 | JAMES HECK | 2021-10-12 | JAMES HECK | 2021-10-12 |