Search icon

KA DENTAL GROUP WPB, PA

Company Details

Entity Name: KA DENTAL GROUP WPB, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Oct 2017 (7 years ago)
Last Event: AMENDMENT
Event Date Filed: 18 Apr 2024 (10 months ago)
Document Number: P17000084784
FEI/EIN Number 82-3336599
Address: 1962 S MILITARY TRAIL, WEST PALM BEACH, FL, 33415, US
Mail Address: 1962 S MILITARY TRAIL, WEST PALM BEACH, 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
1457848871 2018-04-20 2020-11-19 1112 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 334111607, US 2596 FOREST HILL BLVD, WEST PALM BEACH, FL, 334065929, US

Contacts

Phone +1 973-767-3283

Authorized person

Name KRUNAL PATEL
Role OWNER
Phone 9737673283

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
GIGI JENNIE Agent 1962 S MILITARY TRAIL, WEST PALM BEACH, FL, 33415

Director

Name Role Address
PATEL ADITI Director 1962 S MILITARY TRAIL, WEST PALM BEACH, FL, 33415

President

Name Role Address
PATEL ADITI President 1962 S MILITARY TRAIL, WEST PALM BEACH, FL, 33415

Secretary

Name Role Address
PATEL ADITI Secretary 1962 S MILITARY TRAIL, WEST PALM BEACH, FL, 33415

Treasurer

Name Role Address
PATEL ADITI Treasurer 1962 S MILITARY TRAIL, WEST PALM BEACH, FL, 33415

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000063174 FLAWLESS FACIAL ESTHETIC SPA ACTIVE 2024-05-15 2029-12-31 No data 1962 S. MILITARY TRAIL, WEST PALM BEACH, FL, 33415
G24000023495 PALM BEACH BRACES AND PEDIATRICS ACTIVE 2024-02-12 2029-12-31 No data 1962 S. MILITARY TRAIL, WEST PALM BEACH, FL, 33415

Events

Event Type Filed Date Value Description
AMENDMENT 2024-04-18 No data No data
CHANGE OF PRINCIPAL ADDRESS 2024-04-18 1962 S MILITARY TRAIL, WEST PALM BEACH, FL 33415 No data
CHANGE OF MAILING ADDRESS 2024-04-18 1962 S MILITARY TRAIL, WEST PALM BEACH, FL 33415 No data
REGISTERED AGENT NAME CHANGED 2024-04-18 GIGI, JENNIE No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-18 1962 S MILITARY TRAIL, WEST PALM BEACH, FL 33415 No data

Documents

Name Date
Amendment 2024-04-18
ANNUAL REPORT 2024-02-01
AMENDED ANNUAL REPORT 2023-07-12
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-03-28
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-22
ANNUAL REPORT 2018-01-03
Domestic Profit 2017-10-19

Date of last update: 01 Feb 2025

Sources: Florida Department of State