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NORTH KENDALL DENTISTS, PA

Company Details

Entity Name: NORTH KENDALL DENTISTS, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Feb 2023 (2 years ago)
Document Number: P23000013880
FEI/EIN Number 92-2539216
Mail Address: 17000 RED HILL AVENUE, IRVINE, CA, 92614, US
Address: 12022 S.W. 88TH STREET, MIAMI, FL, 33186, US
ZIP code: 33186
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194424309 2023-02-27 2023-02-27 PO BOX 920050, DALLAS, TX, 753920050, US 12022 SW 88TH ST, MIAMI, FL, 331862002, US

Contacts

Phone +1 786-623-5056

Authorized person

Name MINH B PHAM
Role DDS/OWNER
Phone 7866235056

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

President

Name Role Address
Gracia Valentina President 17000 RED HILL AVENUE, IRVINE, CA, 92614

Secretary

Name Role Address
Gonzalez Vigon Monica Secretary 17000 RED HILL AVENUE, IRVINE, CA, 92614

Treasurer

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

Director

Name Role Address
Pham Minh B Director 17000 RED HILL AVENUE, IRVINE, CA, 92614
Gracia Valentina Director 17000 RED HILL AVENUE, IRVINE, CA, 92614
Gonzalez Vigon Monica Director 17000 RED HILL AVENUE, IRVINE, CA, 92614

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000042653 NORTH KENDALL DENTISTS ACTIVE 2023-04-03 2028-12-31 No data 17000 RED HILL AVENUE, ATTN: LEGAL DEPT., RAELEA APOLITO, 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 2024-04-17
Domestic Profit 2023-02-21

Date of last update: 01 Feb 2025

Sources: Florida Department of State