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CG COSMETIC DENTAL LLC

Company Details

Entity Name: CG COSMETIC DENTAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 13 May 2020 (5 years ago)
Document Number: L20000130333
FEI/EIN Number 85-1034847
Address: 2601 SW 37TH AVE STE 705, MIAMI, FL 33133
Mail Address: 2601 SW 37TH AVE STE 705, MIAMI, FL 33133
ZIP code: 33133
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871182881 2021-01-13 2021-01-13 2601 SW 37TH AVE STE 702, MIAMI, FL, 331332750, US 2601 SW 37TH AVE STE 702, MIAMI, FL, 331332750, US

Contacts

Phone +1 305-446-7031

Authorized person

Name JUAN CARLOS IZQUIERDO
Role VICE PRESIDENT
Phone 3054467031

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
Betancourt, Moramay Agent 2601 SW 37TH AVE STE 705, MIAMI, FL 33133

Manager

Name Role Address
Moderna Dental Inc Manager 2601 SW 37TH AVE SUITE 705, MIAMI, FL 33133

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000001759 CG SMILE ACTIVE 2021-01-05 2026-12-31 No data 2601 SW 37TH AVE, SUITE 702, MIAMI, FL, 33133

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-27 Betancourt, Moramay No data
CHANGE OF PRINCIPAL ADDRESS 2021-01-13 2601 SW 37TH AVE STE 705, MIAMI, FL 33133 No data
CHANGE OF MAILING ADDRESS 2021-01-13 2601 SW 37TH AVE STE 705, MIAMI, FL 33133 No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-13 2601 SW 37TH AVE STE 705, MIAMI, FL 33133 No data

Documents

Name Date
ANNUAL REPORT 2024-04-27
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-01-13
Florida Limited Liability 2020-05-13

Date of last update: 16 Jan 2025

Sources: Florida Department of State