| Entity Name: | CLEAR SMILES WESTON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Dec 2022 (2 years ago) |
| Document Number: | L22000507086 |
| FEI/EIN Number | 92-1244359 |
| Address: | 1900 WESTON RD, WESTON, FL 33326 |
| Mail Address: | 12169 PEMBROKE ROAD, PEMBROKE PINES, FL 33025 UN |
| ZIP code: | 33326 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518679919 | 2022-12-16 | 2022-12-16 | 12169 PEMBROKE RD, PEMBROKE PINES, FL, 330251727, US | 1900 WESTON RD, WESTON, FL, 333263214, US | |||||||||||||||
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| Phone | +1 954-505-3269 |
| Phone | +1 754-283-9882 |
Authorized person
| Name | DANIEL RODRIGUEZ |
| Role | AUTHORIZED PERSON |
| Phone | 7864477449 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, DANIEL | Agent | 12169 PEMBROKE ROAD, PEMBROKE PINES, FL 33025 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, DANIEL | Authorized Person | 12169 PEMBROKE ROAD, PEMBROKE PINES, FL 33025 |
| Name | Role | Address |
|---|---|---|
| SMITH, KERRY D | Manager | 12169 PEMBROKE ROAD, PEMBROKE PINES, FL 33025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000003058 | CLEAR SMILES DENTAL | ACTIVE | 2023-01-07 | 2028-12-31 | No data | 12169 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| Florida Limited Liability | 2022-12-01 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
