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TOMMY FONG, DDS, VIVIAN M. BENNETT, DDS, P.C.

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Company Details

Legal Name: TOMMY FONG, DDS, VIVIAN M. BENNETT, DDS, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 29th 1995
Expiration date: 31 Dec 2025
UBI Number: 601 679 382
ZIP code: 98133
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 735 N 185TH ST, SEATTLE, WA, 98133-3901, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 735 N 185TH ST, SHORELINE, WA, 98133, UNITED STATES

Contact Details

E-Mail: TANDV4@COMCAST.NET
Phone Number: +1 206-542-7000

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
VIVIAN M BENNETT DDS Registered Agent 735 N 185TH ST, SHORELINE, WA, 98133-3901, UNITED STATES

Key Officers & Management

Name Role
TOMMY FONG Governing Person
PHILIPPE HUJOEL Governing Person
VIVIAN BENNETT Governing Person
JUN SUN Governing Person
LAUREN LEWANDOWSKI Governing Person
SHANNON LIN Governing Person
DEBORAH LEE Governing Person
DAVID KANG Governing Person
DIANA CHAN Governing Person

National Provider Identifier

NPI Number:
1871628446
Link:
View on NPI website

Authorized Person:

Name:
DR. VIVIAN MARIE BENNETT
Role:
VP
Phone:
2065427000

Taxonomy:

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

Contacts:

Phone:
+1 206-542-7000

Paycheck Protection Program

Jobs Reported:
26
Initial Approval Amount:
$369,902
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$369,902
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$372,465.98
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $369,902
Jobs Reported:
25
Initial Approval Amount:
$219,437
Date Approved:
2021-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$219,437
Race:
Asian
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$220,699.51
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $219,437
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