MARK L. DIRE, D.D.S., P.S.

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Company Details

Legal Name:	MARK L. DIRE, D.D.S., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	July 20th 1983
Expiration date:	31 Jul 2026
UBI Number:	600 516 457
ZIP code:	98006
City:	Bellevue
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	12917 SE 38TH ST, SUITE 202, BELLEVUE, WA, 98006-1349, UNITED STATES
Principal Office Mailing Address:	915 BROADWAY ST STE 100, VANCOUVER, WA, 98660-3287, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$176,913

Contact Details

E-Mail:	SHVAL@MOSAICDENTALCOLLECTIVE.COM
Phone Number:	+1 425-747-8052

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
STEVEN HVAL	Registered Agent	915 BROADWAY ST STE 100, VANCOUVER, WA, 98660-3287, UNITED STATES

Key Officers & Management

Name	Role	Address
MARK DIRE	Governing Person	14259 209TH AVE NE, WOODINVILLE, WA, 98077, UNITED STATES
JAGDEV HEIR MD DMD	Governing Person	-
ROSS AUSTIN DDS	Governing Person	-

National Provider Identifier

NPI Number:

1164529301

Link:

View on NPI website

Authorized Person:

Name:

DR. MARK L. DIRE

Role:

CEO

Phone:

4257478052

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 425-747-8052

Fax:

4255627222

Form 5500 Series

Employer Identification Number (EIN):

911215411

Plan Year:

2022

Number Of Participants:

14

Plan Name:

401(K)

Sponsor's telephone number:

4257478052

File:

Plan Administrator / Signatory:

MARK L. DIRE(Plan administrator)

Plan Year:

2021

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

4257478052

File:

Plan Administrator / Signatory:

MARK L. DIRE(Plan administrator)

Plan Year:

2020

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

4257478052

File:

Plan Year:

2019

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

4257478052

File:

Plan Year:

2018

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

4257478052

File:

Paycheck Protection Program

Jobs Reported:

8

Initial Approval Amount:

$132,800

Date Approved:

2020-04-13

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$132,800

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$133,629.46

Servicing Lender:

KeyBank National Association

Use of Proceeds:

Payroll: $132,800

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