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HEIDI BRANDT, DMD, MSD, & STIG K. OSTERBERG, DDS, MSD, PC

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Company Details

Legal Name: HEIDI BRANDT, DMD, MSD, & STIG K. OSTERBERG, DDS, MSD, PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: June 21st 2001
Date of Dissolution: November 3rd 2020
Expiration date: 30 Jun 2020
UBI Number: 602 129 545
ZIP code: 98368
City: Port Townsend
County: JEFFERSON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 814 BECKETT POINT RD, PORT TOWNSEND, WA, 98368-9028, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 1718, PORT TOWNSEND, WA, 98368-0160, UNITED STATES

Contact Details

E-Mail: STIG@OLYMPUS.NET
Phone Number: +1 360-301-5663

Nature of Business

Any Lawful Purpose

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Registered Agent Information

Name Role Address
STIG OSTERBERG Registered Agent 814 BECKETT POINT RD, PORT TOWNSEND, WA, 98368-9028, UNITED STATES

Key Officers & Management

Name Role Address
STIG OSTERBERG Governing Person P.O.BOX 1718, PORT TOWNSEND, WA, 98368, UNITED STATES
HEIDI BRANDT Governing Person 150 ADELMA BEACH ROAD, PORT TOWNSEND, WA, 98368, UNITED STATES

National Provider Identifier

NPI Number:
1932404175

Authorized Person:

Name:
DR. STIG KJELL OSTERBERG
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
No
Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Fax:
3603799534
Fax:
3604574903
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