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BRADLEY P. BROWN, D.D.S., P.S.

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Company Details

Legal Name: BRADLEY P. BROWN, D.D.S., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: June 28th 1984
Date of Dissolution: August 4th 2011
Expiration date: 30 Jun 2011
UBI Number: 600 314 387

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Registered Agent Information

Name Role Address
BRADLEY P BROWN DDS Registered Agent 7409 W GRANDRIDGE BLVD, KENNEWICK, WA, 99336, UNITED STATES

Key Officers & Management

Name Role
BRADLEY BROWN Governing Person
DELENE BRANDT Governing Person

National Provider Identifier

NPI Number:
1841336153

Authorized Person:

Name:
DR. BRADLEY PAGE BROWN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223E0200X - Endodontist
Is Primary:
Yes

Contacts:

Fax:
5097831524

Form 5500 Series

Employer Identification Number (EIN):
911256210
Plan Year:
2010
Number Of Participants:
5
Sponsor's telephone number:
Plan Administrator / Signatory:
BRADLEY P. BROWN(Plan administrator)
Plan Year:
2009
Number Of Participants:
5
Sponsor's telephone number:
Plan Administrator / Signatory:
BRADLEY P. BROWN(Plan administrator)
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