| Entity Name: | VALLEY RIDGE PEDIATRIC DENTISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Jan 2024 (a year ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 01 Apr 2024 (10 months ago) |
| Document Number: | L24000049033 |
| Address: | 2003 GREY FALCON CIR SW, VERO BEACH, FL 32962 |
| Mail Address: | 2003 GREY FALCON CIR SW, VERO BEACH, FL 32962 |
| ZIP code: | 32962 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093562787 | 2024-05-01 | 2024-05-01 | 2003 GREY FALCON CIR SW, VERO BEACH, FL, 329628616, US | 4220 VALLEY RIDGE BLVD STE 4, PONTE VEDRA, FL, 320815172, US | |||||||||||||
|
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| Phone | +1 352-262-0968 |
Authorized person
| Name | DR. RYAN CLANCE |
| Role | PRESIDENT |
| Phone | 3522620968 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLANCE, RYAN R | Agent | 2003 GREY FALCON CIR SW, VERO BEACH, FL 32962 |
| Name | Role | Address |
|---|---|---|
| CLANCE, RYAN R | Authorized Person | 2003 GREY FALCON CIR SW, VERO BEACH, FL 32962 |
| Name | Role | Address |
|---|---|---|
| CLANCE, DOMINIQUE E | Authorized Representative | 2003 GREY FALCON CIR SW, VERO BEACH, FL 32962 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2024-04-01 | VALLEY RIDGE PEDIATRIC DENTISTRY, LLC | No data |
| Name | Date |
|---|---|
| LC Name Change | 2024-04-01 |
| Florida Limited Liability | 2024-01-26 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
