Entity Name: | SAND DOLLAR DENTAL TOO, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 10 Jan 2024 (a year ago) |
Document Number: | P24000003454 |
Address: | 8166 NAVARRE PARKWAY, NAVARRE, FL, 32566, US |
Mail Address: | 921 LAKELAND DR, PACIFIC, MO, 63069, US |
ZIP code: | 32566 |
County: | Santa Rosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1013769017 | 2024-04-03 | 2024-04-03 | 8166 NAVARRE PKWY, NAVARRE, FL, 325666906, US | 8166 NAVARRE PKWY, NAVARRE, FL, 325666906, US | |||||||||||||
|
Phone | +1 850-712-8105 |
Authorized person
Name | CARL GRAVES |
Role | DDS |
Phone | 8507128105 |
Taxonomy
Taxonomy Code | 261QD0000X - Dental Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GRAVES CARL S | Agent | 4203 INDIAN BAYOU TRAIL, DESTIN, FL, 32541 |
Name | Role | Address |
---|---|---|
GRAVES CARL S | President | 4203 INDIAN BAYOU TRAIL, DESTIN, FL, 32541 |
Name | Role | Address |
---|---|---|
OUSLEY-GRAVES RACHEL | Vice President | 4203 INDIAN BAYOU TRAIL, DESTIN, FL, 32541 |
Name | Date |
---|---|
Domestic Profit | 2024-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State