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JEFFREY J. HENNEBERG, D.D.S., P.C.

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Company Details

Legal Name: JEFFREY J. HENNEBERG, D.D.S., P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 30th 2006
Expiration date: 30 Jun 2026
UBI Number: 602 629 210
ZIP code: 99216
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1215 N MCDONALD RD, STE 203, SPOKANE VLY, WA, 99216, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1215 N MCDONALD RD, STE 203, SPOKANE VLY, WA, 99216-1557, UNITED STATES

Contact Details

E-Mail: JEFF@SMILESOURCESPOKANE.COM
Phone Number: +1 509-928-8400

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JEFF HENNEBERG Registered Agent 1215 N MCDONALD RD STE 203, SPOKANE VALLEY, WA, 99216-1557, UNITED STATES

Key Officers & Management

Name Role
JEFF HENNEBERG Governing Person

National Provider Identifier

NPI Number:
1801266549

Authorized Person:

Name:
DR. JEFF HENNEBERG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
Yes

Contacts:

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$20,833.32
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,833.32
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$21,088.46
Servicing Lender:
Banner Bank
Use of Proceeds:
Payroll: $15,625
Healthcare: $5208.32
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