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THE SMILE MISSION SANFORD PLLC - Florida Company Profile

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Company Details

Entity Name: THE SMILE MISSION SANFORD PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Aug 2023 (2 years ago)
Document Number: L23000386864
FEI/EIN Number 93-2955372
Mail Address: 9900 SW 168TH ST, MIAMI, FL, 33157, US
Address: 3639 S ORLANDO DR, STORE #1, SANFORD, FL, 32773, US
ZIP code: 32773
City: Sanford
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Smile Mission South Miami PLLC Manager 9900 SW 168TH ST, MIAMI, FL, 33157
SMILE MISSION SOUTH MIAMI PLLC Agent 9900 SW 168TH ST, MIAMI, FL, 33157

National Provider Identifier

NPI Number:
1871361964
Certification Date:
2023-12-15

Authorized Person:

Name:
DUSTIN PFUNDHELLER
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-01-31
Florida Limited Liability 2023-08-17

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Date of last update: 02 Aug 2025

Sources: Florida Department of State