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BRIAN MOODY, DDS, PLLC

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Company Details

Legal Name: BRIAN MOODY, DDS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 16th 2016
Expiration date: 30 Jun 2026
UBI Number: 604 001 348
ZIP code: 98011
City: Bothell
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19214 BOTHELL WAY NE STE C, BOTHELL, WA, 98011-6066, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $19,680

Contact Details

E-Mail: DRMOODY@CREEKSIDEDDS.COM
Phone Number: +1 425-485-0300

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
FABER FAIRCHILD MCCURDY LLP Registered Agent

Key Officers & Management

Name Role Address
BRIAN MOODY Governing Person 19838 83RD PL NE, KENMORE, WA, 98028, UNITED STATES
BRIAN MOODY EXECUTOR 19838 83RD PL NE, KENMORE, WA, 98028, UNITED STATES

National Provider Identifier

NPI Number:
1689128746

Authorized Person:

Name:
DR. BRIAN MOODY
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$49,018
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$49,017.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$49,458.66
Servicing Lender:
Peoples Bank
Use of Proceeds:
Payroll: $49,017.5
Jobs Reported:
4
Initial Approval Amount:
$49,310
Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$49,310
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$49,618.19
Servicing Lender:
Peoples Bank
Use of Proceeds:
Payroll: $49,307
Utilities: $1
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