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| Company Name: | WILLAMETTE DENTAL OF WASHINGTON, INC. |
| Employer identification number (EIN): | 611702099 |
| National Association of Insurance Commissioner's ID: | 47050 |
| NAIC Classification: | 47050 |
| FIDUCIARY WISE LLC FBO WOODCREEK PROVIDER SERVICES, LLC | WOODCREEK PEDIATRICS WELFARE BENEFIT PLAN | 2015-01-01 |