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ESTERO SMILES DENTISTRY, PA - Florida Company Profile

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Company Details

Entity Name: ESTERO SMILES DENTISTRY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Mar 2020 (5 years ago)
Document Number: P20000021426
FEI/EIN Number 84-5127986
Mail Address: LEGAL DEPARTMENT, 17000 RED HILL AVENUE, IRVINE, CA, 92614
Address: 19521 HIGHLAND OAKS DRIVE SUITE 301, ESTERO, FL, 33928
ZIP code: 33928
City: Estero
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Shima Diana President LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Secretary LEGAL DEPARTMENT, IRVINE, CA, 92614
Gonzalez Vigon Monica Treasurer LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Director LEGAL DEPARTMENT, IRVINE, CA, 92614
Gonzalez Vigon Monica Director LEGAL DEPARTMENT, IRVINE, CA, 92614
Tolmie Christopher Director LEGAL DEPARTMENT, IRVINE, CA, 92614
- Agent -

National Provider Identifier

NPI Number:
1831782937
Certification Date:
2021-02-01

Authorized Person:

Name:
DR. MINH B PHAM
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3039520892
Fax:
2392441230

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000016048 ESTERO SMILES DENTISTRY ACTIVE 2021-02-02 2026-12-31 - ATTENTION: LEGAL DEPARTMENT, 17000 RED HILL AVENUE, 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 -

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-03-16
Reg. Agent Change 2021-12-06
ANNUAL REPORT 2021-04-09
Domestic Profit 2020-03-11

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Date of last update: 02 Aug 2025

Sources: Florida Department of State