| Entity Name: | DANIELA MODESTO GRAN DENTAL INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Mar 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 15 Oct 2020 (4 years ago) |
| Document Number: | P13000024385 |
| FEI/EIN Number | 46-2279177 |
| Address: | 2626 E. COMMERCIAL BLVD., ForT LAUDERDALE, FL, 33308, US |
| Mail Address: | 2626 E. COMMERCIAL BLVD., ForT LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730422247 | 2013-04-03 | 2013-04-03 | 1000 PARKVIEW DR APT 720, HALLANDALE BEACH, FL, 330092932, US | 2500 E COMMERCIAL BLVD, SUITE E, FORT LAUDERDALE, FL, 333084124, US | |||||||||||||||||||||||||||
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| Phone | +1 954-554-3490 |
| Phone | +1 954-662-7447 |
Authorized person
| Name | DR. DANIELA MODESTO |
| Role | DENTIST/PRESIDENT |
| Phone | 9545543490 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN 17097 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN17097 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIELA MODESTO GRAN DENTAL INC 401(K) | 2023 | 462279177 | 2024-09-26 | DANIELA MODESTO GRAN DENTAL INC | 14 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-26 |
| Name of individual signing | DANIELA MODESTO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-07-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9549906278 |
| Plan sponsor’s address | 2626, FORT LAUDERDALE, FL, 33308 |
Signature of
| Role | Plan administrator |
| Date | 2023-11-14 |
| Name of individual signing | DANIELA MODESTO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-07-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9549906278 |
| Plan sponsor’s address | 2500 E COMMERCIAL BLVD STE G, FORT LAUDERDALE, FL, 33308 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-25 |
| Name of individual signing | DANIELA MODESTO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MODESTO DANIELA O | Agent | 2626 E. COMMERCIAL BLVD., ForT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| MODESTO DANIELA | President | 2626 E. COMMERCIAL BLVD., FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| MODESTO DANIELA | Secretary | 2626 E. COMMERCIAL BLVD., FORT LAUDERDALE, FL, 33308 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000032932 | BELLA SMILE | EXPIRED | 2013-04-04 | 2018-12-31 | No data | 1000 PARKVIEW DRIVE APT #720, HALLANDALE, FL, 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-27 | 2626 E. COMMERCIAL BLVD., ForT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-27 | 2626 E. COMMERCIAL BLVD., ForT LAUDERDALE, FL 33308 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-19 | 2626 E. COMMERCIAL BLVD., ForT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-11-02 | MODESTO, DANIELA O | No data |
| REINSTATEMENT | 2016-11-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-01-26 |
| REINSTATEMENT | 2020-10-15 |
| ANNUAL REPORT | 2019-06-20 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-28 |
| REINSTATEMENT | 2016-11-02 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
