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BRUMBACH FAMILY DENTISTRY PLLC

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Company Details

Name: BRUMBACH FAMILY DENTISTRY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Jul 2007 (18 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 205248
Place of Formation: IDAHO
File Number: 205248
ZIP code: 83854
County: Kootenai County
Principal Address: 609 CALGARY CT 104 POST FALLS, ID 83854
Mailing Address: 104 609 N CALGARY CT POST FALLS, ID 83854-4906

Agent

Name Role Address
ZACHARY HARRIS BRUMBACH DDS Agent 609 CALGARY CT STE 104, POST FALLS, ID 83854

Manager

Name Role Address Appointed On
Zach H Brumbach Manager 609 CALGARY CT., POST FALLS, ID 83854-4906 2021-06-03

National Provider Identifier

NPI Number:
1255502977

Authorized Person:

Name:
DR. ZACHARY HARRIS BRUMBACH
Role:
DENTIST/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2087774555

Filing

Filing Name Filing Number Filing date
Annual Report 0005755118 2024-06-03
Annual Report 0005266987 2023-06-05
Annual Report 0004776579 2022-06-08
Annual Report 0004302182 2021-06-03
Annual Report 0003899877 2020-06-04

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State