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LUTZ DENTIST OFFICE, PA - Florida Company Profile

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Company Details

Entity Name: LUTZ DENTIST OFFICE, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Jul 2023 (2 years ago)
Document Number: P23000051640
FEI/EIN Number 93-2501676
Address: 17661 HARPERS RUN, LUTZ, FL, 33558
Mail Address: LEGAL DEPARTMENT, 17000 RED HILL AVENUE, IRVINE, CA, 92614
ZIP code: 33558
City: Lutz
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Button Nicholas R Secretary LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Treasurer LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Director LEGAL DEPARTMENT, IRVINE, CA, 92614
Button Nicholas R Director LEGAL DEPARTMENT, IRVINE, CA, 92614
Arifuddin Ali B President LEGAL DEPARTMENT, IRVINE, CA, 92614
Arifuddin Ali B Director 17000 Red Hill Ave., Irvine, CA, 92614
- Agent -

National Provider Identifier

NPI Number:
1467134213
Certification Date:
2023-07-31

Authorized Person:

Name:
MINH PHAM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
8133679887

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000105800 LUTZ DENTIST OFFICE ACTIVE 2023-09-05 2028-12-31 - 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614

Documents

Name Date
ANNUAL REPORT 2024-04-17
Domestic Profit 2023-07-12

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Date of last update: 01 Aug 2025

Sources: Florida Department of State