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MOUNT DORA MODERN DENTISTRY, PA - Florida Company Profile

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Company Details

Entity Name: MOUNT DORA MODERN DENTISTRY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Nov 2016 (9 years ago)
Document Number: P16000091243
FEI/EIN Number 81-4466761
Mail Address: ATTN: LEGAL DEPT., 17000 RED HILL AVENUE, IRVINE, CA, 92614
Address: 17365 US Hwy 441, Mount Dora, FL, 32757, US
ZIP code: 32757
City: Mount Dora
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Le Thien President ATTN: LEGAL DEPT., IRVINE, CA, 92614
Nam Sung M Secretary ATTN: LEGAL DEPT., IRVINE, CA, 92614
Pham Minh B Chief Financial Officer ATTN: LEGAL DEPT., IRVINE, CA, 92614
Nam Sung M Director ATTN: LEGAL DEPT., IRVINE, CA, 92614
Pham Minh B Director ATTN: LEGAL DEPT., IRVINE, CA, 92614
Le Thien Director ATTN: LEGAL DEPT., IRVINE, CA, 92614
- Agent -

National Provider Identifier

NPI Number:
1659815306
Certification Date:
2022-02-10

Authorized Person:

Name:
DR. THIEN LE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000016169 MOUNT DORA MODERN DENTISTRY ACTIVE 2017-02-13 2027-12-31 - 17000 RED HILL AVENUE, ATTN: 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 -
CHANGE OF PRINCIPAL ADDRESS 2019-04-30 17365 US Hwy 441, Mount Dora, FL 32757 -
REGISTERED AGENT NAME CHANGED 2018-04-26 COGENCY GLOBAL INC. -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-21
Reg. Agent Change 2021-09-02
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-03-24
Domestic Profit 2016-11-14

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
57695.00
Total Face Value Of Loan:
57695.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
57695.00
Total Face Value Of Loan:
57695.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$57,695
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$57,695
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$58,401.76
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $57,695

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Date of last update: 02 Aug 2025

Sources: Florida Department of State