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CUELLAR SMILE INC

Company Details

Entity Name: CUELLAR SMILE INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 May 2021 (4 years ago)
Document Number: P21000048522
FEI/EIN Number 87-1805611
Address: 10737 WILLOW RIDGE LOOP, ORLANDO, FL, 32825
Mail Address: 10737 WILLOW RIDGE LOOP, ORLANDO, FL, 32825
ZIP code: 32825
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588449896 2023-08-28 2023-08-28 1340 TUSKAWILLA RD STE 108, WINTER SPRINGS, FL, 327085030, US 1340 TUSKAWILLA RD STE 108, WINTER SPRINGS, FL, 327085030, US

Contacts

Phone +1 407-695-2005
Fax 4076958384
Fax 4075958384

Authorized person

Name DR. HECTOR CUELLAR GONZALEZ
Role PRESIDENT
Phone 5618562506

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
CUELLAR GONZALEZ HECTOR DMD Agent 10737 WILLOW RIDGE LOOP, ORLANDO, FL, 32825

President

Name Role Address
CUELLAR GONZALEZ HECTOR DMD President 10737 WILLOW RIDGE LOOP, ORLANDO, FL, 32825

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000073240 TUSKAWILLA FAMILY DENTISTRY ACTIVE 2022-06-16 2027-12-31 No data 1340 TUSKAWILLA ROAD, SUITE 108, WINTER SPRINGS, FL, 32708

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-03-15
Domestic Profit 2021-05-21

Date of last update: 01 Feb 2025

Sources: Florida Department of State