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DR. BRENT MARTIN, DMD, P.L.L.C.

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Company Details

Legal Name: DR. BRENT MARTIN, DMD, P.L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 22nd 2023
Expiration date: 31 May 2026
UBI Number: 605 247 645
ZIP code: 98953
City: Zillah
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 812 ZILLAH WEST ROAD, ZILLAH, WA, 98953-9542, UNITED STATES

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

DENTISTRY

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Registered Agent Information

Name Role Address
BRENT MARTIN Registered Agent 812 ZILLAH WEST RD, ZILLAH, WA, 98953-9542, UNITED STATES

Key Officers & Management

Name Role Address
BRENT MARTIN Executor 812 ZILLAH WEST RD, ZILLAH, WA, 98953-9542, UNITED STATES
BRENT MARTIN Governing Person -

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
CYNTHIA MAGANA
Last Update Date:
2024-09-19
Naics Primary:
621210

Self-Certification:

For Profit Organization
Limited Liability Company

Unique Entity ID

Unique Entity ID:
UAKRM7ZFZ8F8
CAGE Code:
02V32
UEI Expiration Date:
2025-09-13

Business Information

Activation Date:
2024-09-17
Initial Registration Date:
2024-09-13

National Provider Identifier

NPI Number:
1194539577
Certification Date:
2025-02-05

Authorized Person:

Name:
BRENT MARTIN
Role:
OWNER/DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
8443146603
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