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AFFORDABLE DENTURES & IMPLANTS - ESTERO II, P.A.

Company Details

Entity Name: AFFORDABLE DENTURES & IMPLANTS - ESTERO II, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 15 Jun 2023 (2 years ago)
Document Number: P23000046189
FEI/EIN Number 93-1963366
Address: 10151 ESTERO TOWN COMMONS PL., SUITE 202, ESTERO, FL 33928
Mail Address: 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC 27560 UN
ZIP code: 33928
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295568749 2024-08-21 2024-08-21 10151 ESTERO TOWN COMMONS PL UNIT 202, ESTERO, FL, 339289707, US 10151 ESTERO TOWN COMMONS PL UNIT 202, ESTERO, FL, 339289707, US

Contacts

Phone +1 239-214-0066

Authorized person

Name EDDY ROMERO MATOS
Role OWNER
Phone 2392140066

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
NRAI SERVICES, INC. Agent

President

Name Role Address
MATOS, EDDY R President 10151 ESTERO TOWN COMMONS PL., SUITE 202, ESTERO, FL 33928

Secretary

Name Role Address
LASSETER, ANNA Secretary 629 DAVIS DRIVE SUITE 300, MORRISVILLE, NC 27560

Assistant Treasurer

Name Role Address
GAINES, BRETT Assistant Treasurer 629 DAVIS DRIVE SUITE 300, MORRISVILLE, NC 27560

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000081506 AFFORDABLE DENTURES & IMPLANTS - ESTERO ACTIVE 2023-07-11 2028-12-31 No data 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-09
Domestic Profit 2023-06-15

Date of last update: 09 Jan 2025

Sources: Florida Department of State