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Certifcate of Assumed Name: Woodbury Pediatric Dentistry

Tuesday, September 4, 2018 - 11:20pm

Office of the Minnesota
Secretary of State
Certificate of
Assumed Name
Minnesota Statutes, Chapter 333
The filing of an assumed name does not provide a user with exclusive rights to that name. The filing is required for consumer protection in order to enable consumers to be able to identify the true owner of a business.
ASSUMED NAME:
Woodbury Pediatric Dentistry
PRINCIPAL PLACE OF BUSINESS:
9680 Tamarack Road, Suite 120
Woodbury, MN 55125 USA
NAMEHOLDER(S):
Dr. Greg Beinlich, Dr. Richard
Baylon, Dr. Wafa Qureshi,
Dr. Nicholas Baylon,
9680 Tamarack Road, Suite 120
Woodbury, MN 55125 USA
I, the undersigned, certify that I am signing this document as the person whose signature is required, or as agent of the person(s) whose signature would be required who has authorized me to sign this document on his/her behalf, or in both capacities. I further certify that I have completed all
required fields, and that the information in this document is true and correct and in compliance with the applicable
chapter of Minnesota Statutes. I understand that by signing this document I am subject to the penalties of perjury as set forth in Section 609.48 as if I had signed this document under oath.
Signed By: /s/ Dr. Greg Beinlich
Filed: August 1, 2018
08/29/18 - 09/05/18


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