| Entity Name: | BOYNTON MALL MODERN DENTISTRY, PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 10 Jan 2024 (a year ago) |
| Document Number: | P24000002458 |
| Address: | 701 N CONGRESS AVE STE 2B, BOYNTON BEACH, FL 33426 |
| Mail Address: | 17000 RED HILL AVE, IRVINE, CA 92614 |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386401495 | 2024-03-05 | 2024-03-05 | PO BOX 920050, DALLAS, TX, 753920050, US | 701 N CONGRESS AVE STE 2B, BOYNTON BEACH, FL, 334263418, US | |||||||||||||||
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| Phone | +1 561-210-1883 |
| Fax | 5612284066 |
Authorized person
| Name | CHRISTOPHER K TOLMIE |
| Role | OWNER |
| Phone | 5612101883 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000021173 | BOYNTON MALL MODERN DENTISTRY | ACTIVE | 2024-02-07 | 2029-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-01-10 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
