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DENTAL PEARL RESTORATIVE & COSMETIC DENTISTRY PA

Company Details

Entity Name: DENTAL PEARL RESTORATIVE & COSMETIC DENTISTRY PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Feb 2024 (a year ago)
Last Event: AMENDMENT
Event Date Filed: 15 Jul 2024 (7 months ago)
Document Number: P24000011579
Address: 14771 BISCAYNE BLVD, N MIAMI BEACH, FL, 33181, US
Mail Address: 14771 BISCAYNE BLVD, N MIAMI BEACH, FL, 33181, US
ZIP code: 33181
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508624388 2024-03-07 2024-03-12 14771 BISCAYNE BLVD, NORTH MIAMI, FL, 331811217, US 14771 BISCAYNE BLVD, NORTH MIAMI, FL, 331811217, US

Contacts

Phone +1 305-816-6620
Fax 8776513774

Authorized person

Name MR. LEONID KLAUSE
Role OWNER
Phone 3058166620

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
MUNOZ ANGIE Agent 14771 BISCAYNE BLVD, N MIAMI BEACH, FL, 33181

President

Name Role Address
LUIS CARLOS MEJIA President 1861 NW S RIVER DR UNIT 1402R, MIAMI, FL, 33124

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000038735 DENTAL PEARL ACTIVE 2024-03-18 2029-12-31 No data 14771 BISCAYNE BLVD, NORTH MIAMI BEACH, FL, 33181

Events

Event Type Filed Date Value Description
AMENDMENT 2024-07-15 No data No data
AMENDMENT 2024-02-22 No data No data
REGISTERED AGENT NAME CHANGED 2024-02-22 MUNOZ, ANGIE No data

Documents

Name Date
Amendment 2024-07-15
Amendment 2024-02-22
Domestic Profit 2024-02-13

Date of last update: 03 Feb 2025

Sources: Florida Department of State