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DENTAL WELLNESS OF PALM BEACH LLC

Company Details

Entity Name: DENTAL WELLNESS OF PALM BEACH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Jul 2021 (4 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 03 Aug 2021 (4 years ago)
Document Number: L21000304614
FEI/EIN Number 87-3464741
Address: 3540 FOREST HILL BLVD, 203, WEST PALM BEACH, FL, 33406, US
Mail Address: 3540 FOREST HILL BLVD, 203, WEST PALM BEACH, FL, 33406, US
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528704574 2022-05-11 2022-05-12 3540 FOREST HILL BLVD STE 203, WEST PALM BEACH, FL, 334065878, US 3540 FOREST HILL BLVD STE 203, WEST PALM BEACH, FL, 334065878, US

Contacts

Phone +1 561-290-0744

Authorized person

Name MIGUEL R GRILLO
Role DDS/OWNER
Phone 5612900744

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
JIMENEZ-GRILLO ROSA M Agent 6307 S. Dixie Hwy., West Palm Beach, FL, 33405

Manager

Name Role Address
GRILLO WENDY Manager 3540 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406
GRILLO MIGUEL Manager 3540 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-14 JIMENEZ-GRILLO, ROSA M No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-14 6307 S. Dixie Hwy., West Palm Beach, FL 33405 No data
LC NAME CHANGE 2021-08-03 DENTAL WELLNESS OF PALM BEACH LLC No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-04-21
LC Name Change 2021-08-03
Florida Limited Liability 2021-07-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State