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ARTISTIC CENTER FOR DENTISTRY, INC.

Company Details

Entity Name: ARTISTIC CENTER FOR DENTISTRY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 23 Nov 2005 (19 years ago)
Document Number: P05000155538
FEI/EIN Number 20-3847806
Address: 5820 S. WILLIAMSON BLVD, SUITE 1, PORT ORANGE, FL 32128
Mail Address: 821 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168
ZIP code: 32128
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184763450 2007-02-05 2020-08-22 5820 S WILLIAMSON BLVD, SUITE #1, PORT ORANGE, FL, 321286400, US 5820 S WILLIAMSON BLVD, SUITE #1, PORT ORANGE, FL, 321286400, US

Contacts

Phone +1 386-760-0366

Authorized person

Name DR. CATHLEEN DIEM LUONG
Role DENTIST
Phone 3867600366

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
State FL
Is Primary Yes

Agent

Name Role Address
Luong, Cathleen H Agent 1422 RICHEL DRIVE, PORT ORANGE, FL 32129

President

Name Role Address
LUONG, CATHLEEN H. President 1422 RICHEL DRIVE, PORT ORANGE, FL 32129

Director

Name Role Address
LUONG, NGHIA M Director 1422 RICHEL DR, PORT ORANGE, FL 32129

Officer

Name Role Address
Mai, Christopher Chien D Officer 821 State Road 44, New Smyrna Beach, FL 32168

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-01 Luong, Cathleen H No data
REGISTERED AGENT ADDRESS CHANGED 2013-04-25 1422 RICHEL DRIVE, PORT ORANGE, FL 32129 No data
CHANGE OF PRINCIPAL ADDRESS 2006-04-26 5820 S. WILLIAMSON BLVD, SUITE 1, PORT ORANGE, FL 32128 No data
CHANGE OF MAILING ADDRESS 2006-04-26 5820 S. WILLIAMSON BLVD, SUITE 1, PORT ORANGE, FL 32128 No data

Documents

Name Date
ANNUAL REPORT 2024-04-14
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-04-01
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-06-14
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-06-27
ANNUAL REPORT 2017-04-29
ANNUAL REPORT 2016-03-15
ANNUAL REPORT 2015-05-13

Date of last update: 28 Jan 2025

Sources: Florida Department of State