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BENJAMIN L. CHANG, DDS, P.S.

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Company Details

Legal Name: BENJAMIN L. CHANG, DDS, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 23rd 2000
Expiration date: 28 Feb 2026
UBI Number: 602 023 784
ZIP code: 98103
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4701 MIDVALE AVE N, SEATTLE, WA, 98103-6641, UNITED STATES

Contact Details

E-Mail: GDRECEIPT@GMAIL.COM
Phone Number: +1 206-547-5647

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
BENJAMIN CHANG LLC Registered Agent

Key Officers & Management

Name Role Address
CHEN YAO Governing Person 9216 5TH AVE NE, SEATTLE, WA, 98115, UNITED STATES
AMY YAO Governing Person 9216 5TH AVE NE, SEATTLE, WA, 98115, UNITED STATES
ANNAN CHANG Governing Person 9216 5TH AVE NE, SEATTLE, WA, 98115, UNITED STATES
BENJAMIN CHANG Governing Person 9216 5TH AVE NE, SEATTLE, WA, 98115, UNITED STATES

National Provider Identifier

NPI Number:
1851457428
Link:
View on NPI website

Authorized Person:

Name:
DR. BENJAMIN L CHANG
Role:
PRESIDENT
Phone:
2065475647

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Phone:
+1 206-547-5647
Fax:
2065459291

Form 5500 Series

Employer Identification Number (EIN):
912043738
Plan Year:
2024
Number Of Participants:
17
Plan Name:
401(K)
Sponsor's telephone number:
2065475647
File:
View File
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2023
Number Of Participants:
17
Plan Name:
401(K)
Sponsor's telephone number:
2065475647
File:
View File
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2022
Number Of Participants:
9
Plan Name:
401(K)
Sponsor's telephone number:
2065475647
File:
View File
Plan Administrator / Signatory:
CHRISTINE RIMER(Plan administrator)

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$112,558
Date Approved:
2021-03-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$112,558
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$112,845.65
Servicing Lender:
Washington Federal Bank d/b/a WaFd Bank
Use of Proceeds:
Payroll: $112,554
Utilities: $1
Jobs Reported:
10
Initial Approval Amount:
$107,047.56
Date Approved:
2020-05-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$107,047.56
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$107,862.31
Servicing Lender:
Washington Federal Bank d/b/a WaFd Bank
Use of Proceeds:
Payroll: $107,047.56

Related by address

4701 MIDVALE AVE N, SEATTLE, WA, 98103-6641, UNITED STATES

BEN CHANG, DDS, PLLC
WA PROFESSIONAL LIMITED LIABILITY COMPANY - Administratively Dissolved
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