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THE SMILE MISSION NEW PORT RICHEY PLLC

Company Details

Entity Name: THE SMILE MISSION NEW PORT RICHEY PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Aug 2023 (a year ago)
Document Number: L23000388700
FEI/EIN Number 93-3098859
Address: 7400 STATE RD 52, HUDSON, FL, 34667, US
Mail Address: 9900 SW 168TH ST, MIAMI, FL, 33157, US
ZIP code: 34667
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710755046 2023-12-15 2023-12-15 9900 SW 168TH ST, MIAMI, FL, 331574378, US 7400 STATE ROAD 52, HUDSON, FL, 346676713, 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

Documents

Name Date
ANNUAL REPORT 2024-01-30
Florida Limited Liability 2023-08-18

Date of last update: 01 Feb 2025

Sources: Florida Department of State