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LUX DENTAL PLLC

Company Details

Entity Name: LUX DENTAL PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 20 Oct 2022 (2 years ago)
Document Number: L22000451911
FEI/EIN Number 88-4209458
Address: 5050 West Atlantic Avenue, Delray Beach, FL 33484
Mail Address: 5050 West Atlantic Avenue, Delray Beach, FL 33484
ZIP code: 33484
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013796986 2023-09-28 2023-11-26 5050 W ATLANTIC AVE, DELRAY BEACH, FL, 334848129, US 5050 W ATLANTIC AVE, DELRAY BEACH, FL, 334848129, US

Contacts

Phone +1 917-533-7703

Authorized person

Name YANA AVENILOV
Role DOCTOR
Phone 9175337703

Taxonomy

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

Agent

Name Role Address
AVENILOV, YANA Agent 1555 NW 14TH WAY, BOCA RATON, FL 33431

Manager

Name Role Address
AVENILOV, YANA Manager 5075 NW 14th Way, Boca Raton, FL 33431
Avenilov, Alan Manager 5050 West Atlantic Avenue, Delray Beach, FL 33431

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000063464 LUX DENTAL ACTIVE 2023-05-22 2028-12-31 No data 5050 WEST ATLANTIC AVENUE, DELRAY BEACH, FL, 33484

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-03-11 1555 NW 14TH WAY, BOCA RATON, FL 33431 No data
CHANGE OF PRINCIPAL ADDRESS 2023-05-17 5050 West Atlantic Avenue, Delray Beach, FL 33484 No data
CHANGE OF MAILING ADDRESS 2023-05-17 5050 West Atlantic Avenue, Delray Beach, FL 33484 No data

Documents

Name Date
ANNUAL REPORT 2024-03-11
AMENDED ANNUAL REPORT 2023-05-17
ANNUAL REPORT 2023-04-27
Florida Limited Liability 2022-10-20

Date of last update: 11 Feb 2025

Sources: Florida Department of State