| Entity Name: | DIAMOND DENTAL AND ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Apr 2019 (6 years ago) |
| Document Number: | L19000115741 |
| FEI/EIN Number | 83-4709352 |
| Address: | 1811 PEPPERTREE DRIVE, OLDSMAR, FL, 34677 |
| Mail Address: | 1811 PEPPERTREE DRIVE, OLDSMAR, FL, 34677 |
| ZIP code: | 34677 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205613932 | 2023-09-14 | 2023-10-12 | 1811 PEPPERTREE DR, OLDSMAR, FL, 346772741, US | 1811 PEPPERTREE DR, OLDSMAR, FL, 346772741, US | |||||||||||||
|
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| Phone | +1 813-448-6555 |
Authorized person
| Name | DR. PETE PHAM |
| Role | DENTIST OWNER |
| Phone | 8134486555 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PHAM PETE DMD | Agent | 1811 PEPPERTREE DRIVE, OLDSMAR, FL, 34677 |
| Name | Role | Address |
|---|---|---|
| PHAM PETE DMD | Manager | 1811 PEPPERTREE DRIVE, TAMPA, FL, 34677 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-03-23 |
| Florida Limited Liability | 2019-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
