| Entity Name: | ESTERO SMILES DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| 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 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831782937 | 2021-02-19 | 2021-02-19 | 17000 RED HILL AVE, IRVINE, CA, 926145626, US | 19521 HIGHLAND OAKS DRIVE, SUITE 301, ESTERO, FL, 33928, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 714-845-8890 |
| Fax | 3039520892 |
| Phone | +1 239-244-8853 |
| Fax | 2392441230 |
Authorized person
| Name | DR. MINH B PHAM |
| Role | OWNER |
| Phone | 2392448853 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Shima, Diana | President | LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Pham, Minh B. | Secretary | LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Gonzalez Vigon, Monica | Treasurer | LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Pham, Minh B. | Director | LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Gonzalez Vigon, Monica | Director | LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Tolmie, Christopher Kerr | Director | LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Shima, Diana | Director | LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000016048 | ESTERO SMILES DENTISTRY | ACTIVE | 2021-02-02 | 2026-12-31 | No data | ATTENTION: LEGAL DEPARTMENT, 17000 RED HILL AVENUE, IRVINE, CA, 92614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-13 | 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 | No data |
| 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 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
