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STEPHANIE SU, DDS, PLLC

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Company Details

Legal Name: STEPHANIE SU, DDS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 18th 2005
Expiration date: 31 Jan 2026
UBI Number: 602 466 434
ZIP code: 98005
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 16650 NE 79TH ST STE 100, BELLEVUE, WA, 98005-4442, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $187,766

Contact Details

E-Mail: DRSTEPH@REDMONDKIDSDENTISTRY.COM
Phone Number: +1 425-558-4562

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CHANG LAW GROUP PC Registered Agent 3006 NORTHUP WAY, SUITE 100, BELLEVUE, WA, 98004-1445, UNITED STATES

Key Officers & Management

Name Role Address
STEPHANIE SU Governing Person 16650 NE 79TH ST # 100, REDMOND, WA, 98052, UNITED STATES
STEPHANIE SU EXECUTOR 2680 139TH AVE SE #4, BELLEVUE, WA, 98005, UNITED STATES

National Provider Identifier

NPI Number:
1427715184
Certification Date:
2021-11-18

Authorized Person:

Name:
ERIN HATFIELD
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
680604964
Plan Year:
2024
Number Of Participants:
15
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
STEPHANIE SU(Plan administrator)
Plan Year:
2023
Number Of Participants:
16
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2022
Number Of Participants:
15
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2021
Number Of Participants:
16
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2020
Number Of Participants:
13
Plan Name:
401(K)
Sponsor's telephone number:

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$107,136
Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$107,136
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$107,872.74
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $107,133
Utilities: $1
Jobs Reported:
9
Initial Approval Amount:
$97,100
Date Approved:
2020-06-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$97,100
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$97,823.59
Servicing Lender:
BayFirst National Bank
Use of Proceeds:
Payroll: $97,100
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