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CREEKSIDE DENTAL ELLENSBURG, P.L.L.C.

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Company Details

Legal Name: CREEKSIDE DENTAL ELLENSBURG, P.L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 26th 2009
Expiration date: 31 Oct 2025
UBI Number: 602 964 967
ZIP code: 98926
City: Ellensburg
County: KITTITAS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2601 TRIPLE L LOOP, ELLENSBURG, WA, 98926-6502, UNITED STATES

Contact Details

E-Mail: MANAGER@CREEKSIDEELLENSBURG.COM
Phone Number: +1 509-933-4800

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MICHAEL J THORNER Registered Agent 605 N 39TH AVE, YAKIMA, WA, 98902-6348, UNITED STATES

Key Officers & Management

Name Role
DANIEL WHITEMARSH DMD, PS, INC Governing Person
KEVIN PACKARD DDS, PLLC Governing Person

National Provider Identifier

NPI Number:
1275862468

Authorized Person:

Name:
MRS. LESLEE R THYSELL
Role:
TEMP OFC MGR
Phone:

Taxonomy:

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

Contacts:

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$171,755
Date Approved:
2021-03-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$171,755
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$172,852.32
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $171,753
Utilities: $1
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