Entity Name: | DENTAL PROGRESSIVE INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 27 Jun 2006 (19 years ago) |
Date of dissolution: | 26 Sep 2008 (16 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2008 (16 years ago) |
Document Number: | P06000086710 |
FEI/EIN Number | 205139983 |
Address: | 434 SW 12 AVENUE, SUITE 204, MIAMI, FL, 33135 |
Mail Address: | 434 SW 12 AVENUE, SUITE 204, MIAMI, FL, 33135 |
ZIP code: | 33135 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1295876134 | 2007-02-12 | 2020-08-22 | 434 SW 12TH AVE, MIAMI, FL, 331302440, US | 434 SW 12TH AVE, MIAMI, FL, 331302440, US | |||||||||||||||||||
|
Phone | +1 305-643-6161 |
Authorized person
Name | DR. ORESTES GARCIA VILLAMIL |
Role | PRESIDENT |
Phone | 3056436161 |
Taxonomy
Taxonomy Code | 261QD0000X - Dental Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 0765651 |
State | FL |
Name | Role | Address |
---|---|---|
GARCIA-VILLAMIL JENNY | Agent | 434 SW 12 AVENUE, MIAMI, FL, 33135 |
Name | Role | Address |
---|---|---|
GARCIA-VILLAMIL JENNY | President | 434 SW 12 AVENUE SUITE 204, MIAMI, FL, 33135 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2007-05-30 |
Domestic Profit | 2006-06-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State