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WESTON MODERN DENTISTRY, PA

Company Details

Entity Name: WESTON MODERN DENTISTRY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Aug 2016 (8 years ago)
Document Number: P16000069801
FEI/EIN Number 81-3787267
Mail Address: ATTN: LEGAL DEPT., 17000 RED HILL AVENUE, IRVINE, CA, 92614
Address: 280 INDIAN TRACE, SUITE A, WESTON, FL, 33326, US
ZIP code: 33326
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902356389 2016-10-10 2016-10-10 17000 RED HILL AVE, IRVINE, CA, 926145626, US 280 INDIAN TRACE, SUITE A, WESTON, FL, 33326, US

Contacts

Phone +1 714-845-8500
Fax 9494741495
Phone +1 954-248-2895
Fax 9542482896

Authorized person

Name DR. KATIE MCCANN
Role OWNER
Phone 9542482895

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

President

Name Role Address
Pinchevski Duque Ermy R President ATTN: LEGAL DEPT., IRVINE, CA, 92614

Secretary

Name Role Address
Gonzales Nathaniel S Secretary ATTN: LEGAL DEPT., IRVINE, CA, 92614

Chief Financial Officer

Name Role Address
Pham Minh B Chief Financial Officer ATTN: LEGAL DEPT., IRVINE, CA, 92614

Director

Name Role Address
Gonzales Nathaniel S Director ATTN: LEGAL DEPT., IRVINE, CA, 92614
Pham Minh B Director ATTN: LEGAL DEPT., IRVINE, CA, 92614
Pinchevski Duque Ermy R Director ATTN: LEGAL DEPT., IRVINE, CA, 92614

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000108736 WESTON MODERN DENTISTRY ACTIVE 2016-10-04 2026-12-31 No data 17000 RED HILL AVENUE, ATTENTION LEGAL DEPARTMENT, IRVINE, CA, 92614

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-06-13 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 No data
CHANGE OF PRINCIPAL ADDRESS 2022-03-23 280 INDIAN TRACE, SUITE A, WESTON, FL 33326 No data
REGISTERED AGENT NAME CHANGED 2018-04-26 COGENCY GLOBAL INC. No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-23
Reg. Agent Change 2021-09-02
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-03-24
Domestic Profit 2016-08-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State