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DENTALWORKS STUDIO OF WEST PALM BEACH, PA

Company Details

Entity Name: DENTALWORKS STUDIO OF WEST PALM BEACH, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Oct 2013 (11 years ago)
Document Number: P13000082379
FEI/EIN Number 46-4001878
Address: 6336 FOREST HILL BLVD, GREENACRES, FL, 33415, US
Mail Address: 6336 FOREST HILL BLVD, GREENACRES, FL, 33415, US
ZIP code: 33415
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467883322 2013-12-03 2013-12-03 660 LINTON BLVD, SUITE 111B, DELRAY BEACH, FL, 334448167, US 6336 FOREST HILL BLVD, GREENACRES, FL, 334156104, US

Contacts

Phone +1 561-274-0406
Phone +1 561-642-1177

Authorized person

Name CLAUDIA J ORTEGA
Role PRESIDENT
Phone 5612740406

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN 18835
State FL
Is Primary Yes

Agent

Name Role Address
ORTEGA CLAUDIA J Agent 6336 FOREST HILL BLVD, GREENACRES, FL, 33415

President

Name Role Address
ORTEGA CLAUDIA J President 6336 FOREST HILL BLVD, GREENACRES, FL, 33415

Vice President

Name Role Address
GOMEZ JOSUE C Vice President 6336 FOREST HILL BLVD, GREENACRES, FL, 33415

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2016-04-30 6336 FOREST HILL BLVD, GREENACRES, FL 33415 No data
REGISTERED AGENT ADDRESS CHANGED 2016-04-30 6336 FOREST HILL BLVD, GREENACRES, FL 33415 No data

Documents

Name Date
ANNUAL REPORT 2024-03-29
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-05-06
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-06-11
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-04-13

Date of last update: 03 Feb 2025

Sources: Florida Department of State