136-04 CHERRY AVENUE, FLUSHING, 11355, NEW YORK
					
				| Entity Name | KELLY L. WALTERS, D.M.D., P.C. | 
| Entity Number | 4193878 | 
| Status | ACTIVE | 
| Incorporation Date | 26th January 2012 | 
| Dos Process Address | 1557 RTE 82 STE 6, HOPEWELL JCT, 12533, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | DUTCHESS | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |