| Entity Name: | ALLURE DENTAL PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Oct 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Jan 2019 (6 years ago) |
| Document Number: | L17000211880 |
| FEI/EIN Number | 82-3168454 |
| Address: | 4267 w commercial blvd, tamarac, FL, 33319, US |
| Mail Address: | 4267 w commercial blvd, tamarac, FL, 33319, US |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649784166 | 2017-11-20 | 2017-11-20 | 4267 W COMMERCIAL BLVD, TAMARAC, FL, 333193305, US | 4267 W COMMERCIAL BLVD, TAMARAC, FL, 333193305, US | |||||||||||||||||||||
|
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| Phone | +1 954-677-3202 |
| Fax | 9546773201 |
Authorized person
| Name | NADIA KAHOOK |
| Role | CREDENTIALING DIRECTOR |
| Phone | 9544465797 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 076461200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VALDMAN VADIM | Agent | 4267 w commercial blvd, tamarac, FL, 33319 |
| Name | Role | Address |
|---|---|---|
| VALDMAN VADIM | Manager | 4267 w commercial blvd, tamarac, FL, 33319 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-13 | 4267 w commercial blvd, tamarac, FL 33319 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-13 | 4267 w commercial blvd, tamarac, FL 33319 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-13 | 4267 w commercial blvd, STE 3604, tamarac, FL 33319 | No data |
| REINSTATEMENT | 2019-01-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-28 | VALDMAN, VADIM | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-06-08 |
| REINSTATEMENT | 2019-01-28 |
| Florida Limited Liability | 2017-10-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
