| Entity Name: | DIAMOND VALLEY DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Apr 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 07 Aug 2023 (a year ago) |
| Document Number: | L23000207685 |
| FEI/EIN Number | 92-3831580 |
| Address: | 11906 AUTUMN FERN LANE, ORLANDO, FL 32827 |
| Mail Address: | 11906 AUTUMN FERN LANE, ORLANDO, FL 32827 |
| ZIP code: | 32827 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598457913 | 2023-05-24 | 2023-05-24 | 11906 AUTUMN FERN LN, ORLANDO, FL, 328277230, US | 515 E ALTAMONTE DR STE 1022, ALTAMONTE SPRINGS, FL, 327014732, US | |||||||||||||||
|
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| Phone | +1 801-821-6945 |
| Phone | +1 254-913-1631 |
Authorized person
| Name | DR. MUHAMMAD SHERYAR KHAN |
| Role | OWNER |
| Phone | 2549131631 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KHAN, MUHAMMAD S | Agent | 11906 AUTUMN FERN LANE, ORLANDO, FL 32827 |
| Name | Role | Address |
|---|---|---|
| KHAN, MUHAMMAD M | Manager | 11906 AUTUMN FERN LANE, ORLANDO, FL 32827 |
| KHAN, WAJIHA | Manager | 11906 AUTUMN FERN LANE, ORLANDO, FL 32827 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000090849 | CONTEMPORARY DENTAL CARE | ACTIVE | 2023-08-03 | 2028-12-31 | No data | 11906 AUTUMN FERN LANE, ORLANDO, FL, 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-08-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| LC Amendment | 2023-08-07 |
| Florida Limited Liability | 2023-04-27 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
