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DIO DENTAL PA - Florida Company Profile

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Company Details

Entity Name: DIO DENTAL PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 May 2024 (a year ago)
Document Number: P24000033012
FEI/EIN Number 99-3059628
Address: 327 PLAZA REAL, UNIT 305, BOCA RATON, FL, 33432, US
Mail Address: 6401 CONGRESS AVE STE 150, BOCA RATON, FL, 33487, US
ZIP code: 33432
City: Boca Raton
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NOORTHOEK DANIEL RDR President 6401 CONGRESS AVE STE 150, BOCA RATON, FL, 33487
NOORTHOEK DANIEL R Agent 6401 CONGRESS AVE STE 150, BOCA RATON, FL, 33487

National Provider Identifier

NPI Number:
1609617612
Certification Date:
2024-06-04

Authorized Person:

Name:
DR. DANIEL RYAN NOORTHOEK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000101284 DONE IN ONE ACTIVE 2024-08-26 2029-12-31 - 327 PLAZA REAL, SUITE 305, BOCA RATON, FL, 33432
G24000099231 DONE IN ONE ACTIVE 2024-08-20 2029-12-31 - 327 PLAZA REAL, SUITE 305, BOCA RATON, FL, 33432

Documents

Name Date
Domestic Profit 2024-05-08

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Date of last update: 01 Aug 2025

Sources: Florida Department of State