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DENTISTS OF MITCHELL RANCH, PA

Company Details

Entity Name: DENTISTS OF MITCHELL RANCH, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 27 Mar 2020 (5 years ago)
Document Number: P20000026776
FEI/EIN Number 86-2122459
Mail Address: 17000 RED HILL AVENUE, IRVINE, CA 92614
Address: 3112 LITTLE ROAD, TRINITY, FL 34655
ZIP code: 34655
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205407509 2021-07-07 2024-08-21 PO BOX 920050, DALLAS, TX, 753920050, US 3112 LITTLE RD, TRINITY, FL, 346551864, US

Contacts

Phone +1 714-845-8890
Fax 3039520892
Phone +1 727-475-4852
Fax 7274754233

Authorized person

Name DR. MINH PHAM
Role OWNER
Phone 7148458890

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

Director

Name Role Address
Button, Nicholas R. Director 17000 RED HILL AVENUE, IRVINE, CA 92614
Pham, Minh B. Director 17000 RED HILL AVENUE, IRVINE, CA 92614

President

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

Treasurer

Name Role Address
Pham, Minh B. Treasurer 17000 RED HILL AVENUE, IRVINE, CA 92614

Secretary

Name Role Address
Button, Nicholas R. Secretary 17000 RED HILL AVENUE, IRVINE, CA 92614

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000108402 DENTISTS OF MITCHELL RANCH ACTIVE 2021-08-20 2026-12-31 No data 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, 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 No data

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-02-22
Reg. Agent Change 2021-12-06
ANNUAL REPORT 2021-04-09
Domestic Profit 2020-03-27

Date of last update: 16 Jan 2025

Sources: Florida Department of State