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COUNTY DENTAL CORP

Company Details

Entity Name: COUNTY DENTAL CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Mar 2004 (21 years ago)
Document Number: P04000051273
FEI/EIN Number NOT APPLICABLE
Mail Address: 3408 W 84TH STREET, SUITE 217, HIALEAH, FL, 33018, US
Address: 10271 PINES BLVD., PEMBROKE PINES, FL, 33026
ZIP code: 33026
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518062777 2006-09-13 2012-03-15 10271 PINES BLVD, PEMBROKE PINES, FL, 330266008, US 10271 PINES BLVD, PEMBROKE PINES, FL, 330266008, US

Contacts

Phone +1 954-447-0400
Fax 9544470450

Authorized person

Name DR. LILIAN GONZALEZ
Role OWNER
Phone 9544470400

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN 12593
State FL
Is Primary Yes

Agent

Name Role Address
GONZALEZ MANUEL Agent 3408 W 84TH STREET, HIALEAH, FL, 33018

President

Name Role Address
GONZALEZ LILIAN President 3408 W 84TH STREET SUITE 217, HIALEAH, FL, 33018

Secretary

Name Role Address
GONZALEZ LILIAN Secretary 3408 W 84TH STREET SUITE 217, HIALEAH, FL, 33018

Treasurer

Name Role Address
GONZALEZ LILIAN Treasurer 3408 W 84TH STREET SUITE 217, HIALEAH, FL, 33018

Director

Name Role Address
GONZALEZ LILIAN Director 3408 W 84TH STREET SUITE 217, HIALEAH, FL, 33018

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000029829 DENTAL AMERICAN GROUP ACTIVE 2016-03-22 2026-12-31 No data 3408 W 84TH STREET, STE. 217, HIALEAH, FL, 33018
G10000039032 DENTAL AMERICAN GROUP EXPIRED 2010-05-05 2015-12-31 No data 3408 W. 84TH STREET, #317, HIALEAH, FL, 33018

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2017-03-28 10271 PINES BLVD., PEMBROKE PINES, FL 33026 No data
REGISTERED AGENT ADDRESS CHANGED 2017-03-28 3408 W 84TH STREET, SUITE 217, HIALEAH, FL 33018 No data
CHANGE OF PRINCIPAL ADDRESS 2007-03-13 10271 PINES BLVD., PEMBROKE PINES, FL 33026 No data

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-05-21
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-02-20
ANNUAL REPORT 2017-03-28
ANNUAL REPORT 2016-02-10
ANNUAL REPORT 2015-03-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State