Admin Client || Dee Karawadra

Created On Apr, 09 2024 20:27pm ID #7640 Back

Merchant (Business) DBA Name : Oneonta Dental Center

Business Legal Name : Kuntal S. Pandit, DMD,P.C.

Contact Name : Brittany Looney

Contact Phone Number : 205-625-4384

Physical Address : 28425 State Hwy 75

City : Oneonta

State : AL

Country : United States

Zip : 35121

Email Address : [email protected]

<?xml version="1.0"?>
<object>
  <sales_number>12232233</sales_number>
  <sales_office/>
  <sales_signing_rep/>
  <irs_tax_id_type>Employer Identification Number</irs_tax_id_type>
  <irs_tax_id_no>721380930</irs_tax_id_no>
  <ownership_type>Sole Proprietor</ownership_type>
  <business_incorporated>Alabama (AL)</business_incorporated>
  <business_description>Dental</business_description>
  <mailing_address/>
  <mailing_city/>
  <mailing_state/>
  <mailing_zip/>
  <business_phone>205-625-4384</business_phone>
  <contact_first_name>Brittany</contact_first_name>
  <contact_last_name>Looney</contact_last_name>
  <contact_phone>205-625-4384</contact_phone>
  <location_address>28425 State Hwy 75</location_address>
  <location_city>Oneonta</location_city>
  <location_state>AL</location_state>
  <location_zip>35121</location_zip>
  <avg_ticket_amount>25.00</avg_ticket_amount>
  <ave_month_volume>40000.00</ave_month_volume>
  <bank_name>Regions</bank_name>
  <bank_transit_number>062000019</bank_transit_number>
  <bank_dda_no>0003205770</bank_dda_no>
  <gross_vs_net>Gross Settlement</gross_vs_net>
  <refund_policy>3</refund_policy>
  <owner1_first_name>Shivani</owner1_first_name>
  <owner1_last_name>Pandit</owner1_last_name>
  <owner1_home_address>2064 Brook Highland Rdg</owner1_home_address>
  <owner1_home_city>Birmingham</owner1_home_city>
  <owner1_home_state>AL</owner1_home_state>
  <owner1_home_zip>35242</owner1_home_zip>
  <owner1_home_phone>205-625-4384</owner1_home_phone>
  <owner1_title>Owner</owner1_title>
  <owner1_ownership_perc>100</owner1_ownership_perc>
  <owner1_dob>1964-04-24</owner1_dob>
  <owner1_social_securrity_no>223-43-0378</owner1_social_securrity_no>
  <owner1_form_of_id>Drivers License</owner1_form_of_id>
  <owner1_number>6192785</owner1_number>
  <owner1_expired>2024-08-25</owner1_expired>
  <owner1_issuer_state>AL</owner1_issuer_state>
  <owner1_issued_date>2020-07-11</owner1_issued_date>
</object>

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