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GRESHAM FAMILY DENTAL, LLC

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Company Details

Legal Name: GRESHAM FAMILY DENTAL, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: June 21st 2018
Expiration date: 30 Jun 2026
UBI Number: 604 279 256
Home State: OREGON
Principal Office Street Address: Google Maps Logo 19265 SE STARK ST STE A, PORTLAND, OR, 97233-5758, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 12709 NE HIGHWAY 99, VANCOUVER, WA, 98686-3230, UNITED STATES

Contact Details

E-Mail: BRANDONKASCH@HOTMAIL.COM
Phone Number: +1 360-852-8538

Nature of Business

Health Care, Social Assistance & Service Organization, DENTISTRY

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Registered Agent Information

Name Role Address
BRANDON KASCH Registered Agent 12709 NE HIGHWAY 99, VANCOUVER, WA, 98686-3230, UNITED STATES

Key Officers & Management

Name Role
CURTIS BEDONT Governing Person
BRANDON KASCH Governing Person

National Provider Identifier

NPI Number:
1760214357
Certification Date:
2024-08-14

Authorized Person:

Name:
LAVERNE A BLAIR
Role:
INSURANCE COORDINATOR
Phone:

Taxonomy:

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

Contacts:

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