| Entity Name: | BANGASH DENTISTRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Jul 2019 (6 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L19000188918 |
| FEI/EIN Number | 84-2550464 |
| Address: | 24185 US HWY 27 N, LAKE WALES, FL, 33853, US |
| Mail Address: | 24185 US HWY 27 N, LAKE WALES, FL, 33853, US |
| ZIP code: | 33853 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962051987 | 2019-09-11 | 2019-09-11 | PO BOX 3189, SYRACUSE, NY, 132203189, US | 24185 US HIGHWAY 27, LAKE WALES, FL, 338597819, US | |||||||||||||
|
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| Phone | +1 863-676-6200 |
Authorized person
| Name | MARYAM BANGASH |
| Role | OWNER |
| Phone | 8636766200 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DFS AGENT, LLC | Agent |
| Name | Role |
|---|---|
| MARYAM BANGASH DDS HOLDINGS, PLLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000014494 | ASPEN DENTAL | ACTIVE | 2020-01-31 | 2025-12-31 | No data | 24185 US HWY 27 N, LAKE WALES, FL, 33853 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-01-25 |
| Florida Limited Liability | 2019-07-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
