| Entity Name: | GENTLE DENTAL GROUP CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Jul 2024 (7 months ago) |
| Document Number: | P24000045009 |
| FEI/EIN Number | 99-3995104 |
| Address: | 2701 W OAKLAND PARK BLVD STE 101, FORT LAUDERDALE, FL 33311 |
| Mail Address: | 2701 W OAKLAND PARK BLVD STE 101, FORT LAUDERDALE, FL 33311 |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144053562 | 2024-08-21 | 2024-08-21 | 2701 W OAKLAND PARK BLVD STE 101, OAKLAND PARK, FL, 333111348, US | 2701 W OAKLAND PARK BLVD STE 101, OAKLAND PARK, FL, 333111348, US | |||||||||||||
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| Phone | +1 800-634-3479 |
Authorized person
| Name | YORIE GOUBOTH |
| Role | OFFICE MANAGER/P |
| Phone | 7542861554 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAMES DELEON STOVALL RUFFIN | Agent | 2701 W OAKLAND PARK BLVD STE 101, FORT LAUDERDALE, FL 33311 |
| Name | Role | Address |
|---|---|---|
| JAMES DELEON STOVALL RUFFIN | Vice President | 2701 W OAKLAND PARK BLVD STE 101, FORT LAUDERDALE, FL 33311 |
| Name | Role | Address |
|---|---|---|
| YORIE VANETA GOUBOTH | President | 2701 W OAKLAND PARK BLVD STE 101, FORT LAUDERDALE, FL 33311 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-07-08 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
