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EPHRATA FAMILY DENTISTRY, PLLC

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Company Details

Legal Name: EPHRATA FAMILY DENTISTRY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 20th 2011
Date of Dissolution: October 3rd 2023
Expiration date: 31 May 2023
UBI Number: 603 115 205
ZIP code: 98823
City: Ephrata
County: GRANT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 21 C ST SW, EPHRATA, WA, 98823-1841, UNITED STATES

Contact Details

E-Mail: EPHRATAFAMILYDENTISTRY@GMAIL.COM
Phone Number: +1 509-754-4226

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KARL NORTHRUP Registered Agent 21 C ST SW, EPHRATA, WA, 98823-1841, UNITED STATES

Key Officers & Management

Name Role Address
KARL NORTHRUP JR Governing Person 21 C ST SW, EPHRATA, WA, 98823, UNITED STATES

National Provider Identifier

NPI Number:
1710512215
Certification Date:
2020-03-05

Authorized Person:

Name:
DORINA HARVEY
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$75,090.91
Date Approved:
2020-04-13
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Current Approval Amount:
$75,090.91
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Servicing Lender:
Washington Federal Bank d/b/a WaFd Bank
Use of Proceeds:
Payroll: $56,318.18
Utilities: $18,772.73
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