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DENTISTS OF ROYAL PALM, PA

Company Details

Entity Name: DENTISTS OF ROYAL PALM, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Mar 2019 (6 years ago)
Document Number: P19000025644
FEI/EIN Number 83-4369457
Mail Address: 17000 RED HILL AVE, IRVINE, CA, 92614, US
Address: 1151 SOUTHERN BLVD., SUITE 110, ROYAL PALM BEACH, FL, 33411, US
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114585577 2019-05-31 2024-08-21 PO BOX 920050, DALLAS, TX, 753920050, US 11151 SOUTHERN BLVD STE 110, ROYAL PALM BEACH, FL, 334114255, US

Contacts

Phone +1 714-845-8890
Fax 9494741495
Phone +1 561-246-6371

Authorized person

Name DR. MINH PHAM
Role OWNER/GENERAL DENTIST
Phone 5612466371

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

President

Name Role Address
Pham Minh B President 17000 RED HILL AVE, IRVINE, CA, 92614

Secretary

Name Role Address
Tolmie Christopher K Secretary 17000 RED HILL AVE, IRVINE, CA, 92614

Chief Financial Officer

Name Role Address
Pham Minh B Chief Financial Officer 17000 RED HILL AVE, IRVINE, CA, 92614

Director

Name Role Address
Tolmie Christopher K Director 17000 RED HILL AVE, IRVINE, CA, 92614
Pham Minh B Director 17000 RED HILL AVE, IRVINE, CA, 92614
Ghazal Carolyn B Director 17000 Red Hill Ave., Irvine, CA, 92614

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000087352 DENTISTS OF ROYAL PALM ACTIVE 2019-08-19 2029-12-31 No data 17000 RED HILL AVENUE, ATTN: LEGAL DEPARTMENT, 17000 RED HILL AVENUE, 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 1151 SOUTHERN BLVD., SUITE 110, ROYAL PALM BEACH, FL 33411 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-23
Reg. Agent Change 2021-12-06
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-04-24
Domestic Profit 2019-03-26

Date of last update: 02 Feb 2025

Sources: Florida Department of State