Entity Name: | LAF DENTAL STUDIO INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 05 Jun 2024 (8 months ago) |
Document Number: | P24000038924 |
FEI/EIN Number | 99-3365145 |
Address: | 2708 W. VIRGINIA AVE., TAMPA, FL 33607 |
Mail Address: | 2708 W. VIRGINIA AVE., TAMPA, FL 33607 |
ZIP code: | 33607 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1821830209 | 2024-06-07 | 2024-06-07 | 2708 W VIRGINIA AVE, TAMPA, FL, 336076380, US | 2708 W VIRGINIA AVE, TAMPA, FL, 336076380, US | |||||||||||||
|
Phone | +1 305-763-5346 |
Authorized person
Name | FRANK PEREZ |
Role | GENERAL DENTIST -OWNER |
Phone | 3057635346 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
RAMIREZ BLANCO, LISBET | Agent | 2708 W. VIRGINIA AVE., TAMPA, FL 33607 |
Name | Role | Address |
---|---|---|
PEREZ, FRANK | President | 2708 W. VIRGINIA AVE., TAMPA, FL 33607 |
Name | Date |
---|---|
Domestic Profit | 2024-06-05 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State