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THE SMILE MISSION WEST ORLANDO PLLC

Company Details

Entity Name: THE SMILE MISSION WEST ORLANDO PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 20 Jul 2023 (2 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 22 Aug 2023 (a year ago)
Document Number: L23000343122
FEI/EIN Number 93-2482388
Mail Address: 9900 SW 168TH ST, MIAMI, FL 33157
Address: 7307 W COLONIAL DR, SUITE 7320, ORLANDO, FL 32818
ZIP code: 32818
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821866153 2023-12-15 2023-12-15 9900 SW 168TH ST, MIAMI, FL, 331574378, US 7319 W COLONIAL DR, ORLANDO, FL, 328186746, US

Contacts

Phone +1 786-701-8246

Authorized person

Name DUSTIN PFUNDHELLER
Role MANAGER
Phone 7867018246

Taxonomy

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

Agent

Name Role Address
PFUNDHELLER, DUSTIN M Agent 9900 SW 168TH ST, MIAMI, FL 33157

Manager

Name Role Address
PFUNDHELLER, DUSTIN M Manager 9900 SW 168TH ST, MIAMI, FL 33157

Events

Event Type Filed Date Value Description
LC NAME CHANGE 2023-08-22 THE SMILE MISSION WEST ORLANDO PLLC No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
LC Name Change 2023-08-22
Florida Limited Liability 2023-07-20

Date of last update: 09 Jan 2025

Sources: Florida Department of State