| Entity Name: | FAMILY DENTAL GROUP AND ASSOCIATES PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 May 2019 (6 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P19000041670 |
| Address: | 1249 N STATE RD 7, LAUDERHILL, FL, 33313 |
| Mail Address: | 11897 PRESERVATION LANE, BOCA RATON, FL, 33498 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801449095 | 2019-07-17 | 2019-07-17 | 11897 PRESERVATION LN, BOCA RATON, FL, 334986231, US | 1249 N STATE ROAD 7, LAUDERHILL, FL, 333135801, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 954-584-2214 |
Authorized person
| Name | DR. ILYA STEIN |
| Role | PRESIDENT |
| Phone | 3059150567 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEIN ILYA | Agent | 11897 PRESERVATION LANE, BOCA RATON, FL, 33498 |
| Name | Role | Address |
|---|---|---|
| STEIN ILYA DMD | President | 11897 PRESERVATION LANE, BOCA RATON, FL, 33498 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2019-05-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
