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CLEAR SMILES HOLDINGS, LLC

Company Details

Entity Name: CLEAR SMILES HOLDINGS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 30 Jun 2022 (3 years ago)
Document Number: L22000294814
FEI/EIN Number 88-3992703
Address: 12169 PEMBROKE ROAD, PEMBROKE PINES, FL 33025
Mail Address: 12169 PEMBROKE ROAD, PEMBROKE PINES, FL 33025
ZIP code: 33025
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730891136 2022-12-16 2023-04-13 12169 PEMBROKE RD, PEMBROKE PINES, FL, 330251727, US 1261 S FEDERAL HWY, POMPANO BEACH, FL, 330627070, US

Contacts

Phone +1 954-505-3269
Fax 9545890810
Phone +1 754-225-1001

Authorized person

Name DANIEL RODRIGUEZ
Role COO
Phone 9545053269

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
HOWARD, CHASE E, ESQ. Agent 151 NW 1ST AVENUE, DELRAY BEACH, FL 33444

Authorized Member

Name Role Address
SMITH, KERRY Authorized Member 12169 PEMBROKE ROAD, PEMBROKE PINES, FL 33025

Authorized Person

Name Role Address
RODRIGUEZ, DANIEL Authorized Person 12169 PEMBROKE ROAD, PEMBROKE PINES, FL 33025

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000032617 MINTY DENTAL STUDIO LLC ACTIVE 2023-03-10 2028-12-31 No data 12169 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025
G23000003058 CLEAR SMILES DENTAL ACTIVE 2023-01-07 2028-12-31 No data 12169 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-21
Florida Limited Liability 2022-06-30

Date of last update: 12 Jan 2025

Sources: Florida Department of State