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BRIAN A. MARRILLIA DMD, PSC

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Company Details

Name: BRIAN A. MARRILLIA DMD, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Dec 2002 (23 years ago)
Organization Date: 10 Dec 2002 (23 years ago)
Last Annual Report: 28 Mar 2018 (7 years ago)
Organization Number: 0549658
ZIP code: 40258
City: Louisville, Pleasure Rdge, Pleasure Ridge Park
Primary County: Jefferson County
Principal Office: 6788 DIXIE HWY., LOUISVILLE, KY 40258
Place of Formation: KENTUCKY
Authorized Shares: 1000

Incorporator

Name Role
BRIAN A. MARRILLIA Incorporator

Registered Agent

Name Role
BRIAN A. MARRILLIA Registered Agent

Sole Officer

Name Role
Brian A Marrillia Sole Officer

Shareholder

Name Role
Brian A Marrillia Shareholder

Signature

Name Role
BRIAN A MARRILLIA Signature

National Provider Identifier

NPI Number:
1437365087

Authorized Person:

Name:
DR. BRIAN A MARRILLIA
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
5029351795

Filings

Name File Date
Dissolution 2018-12-26
Annual Report 2018-03-28
Annual Report 2017-08-16
Annual Report 2016-03-11
Annual Report 2015-04-17

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Sources: Kentucky Secretary of State