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VITAL DENTAL CENTER OF POMPANO PLLC

Company Details

Entity Name: VITAL DENTAL CENTER OF POMPANO PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Apr 2021 (4 years ago)
Document Number: L21000184188
FEI/EIN Number 90-1895044
Address: 2700 NE 14TH STREET CAUSEWAY, POMPANO BEACH, FL, 33062, US
Mail Address: 279 S STATE RD 7, MARGATE, FL, 33068, US
ZIP code: 33062
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619636867 2021-12-15 2021-12-15 2700 NE 14TH STREET CSWY, POMPANO BEACH, FL, 330623561, US 2700 NE 14TH STREET CSWY, POMPANO BEACH, FL, 330623561, US

Contacts

Phone +1 954-781-6170
Fax 9547816725

Authorized person

Name DR. MARTIN A MAYA
Role OWNER
Phone 9547816170

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
MAYA MARTIN Agent 279 S STATE RD 7, MARGATE, FL, 33068

Manager

Name Role Address
MAYA MARTIN Manager 279 S STATE RD 7, MARGATE, FL, 33068

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-23
Florida Limited Liability 2021-04-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State