Search icon

DENTISTS AT BIG BEND, PA - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: DENTISTS AT BIG BEND, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Aug 2024 (a year ago)
Document Number: P24000051424
FEI/EIN Number 99-4488299
Address: 7020 BIG BEND ROAD, SUITE 105, RIVERVIEW, FL, 33534
Mail Address: 1700 RED HILL AVENUE, IRVINE, CA, 92614
ZIP code: 33534
City: Gibsonton
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Kim Sol President 17000 Red Hill Ave., Irvine, CA, 92614
Pham Minh Director 17000 Red Hill Ave., Irvine, CA, 92614
Nam Sung Min Treasurer 17000 Red Hill Ave., Irvine, CA, 92614
Ghazal Carolyn Director 17000 Red Hill Ave., Irvine, CA, 92614
Button Nicholas Director 17000 Red Hill Ave., Irvine, CA, 92614
- Agent -

National Provider Identifier

NPI Number:
1366275653
Certification Date:
2024-08-20

Authorized Person:

Name:
SOL KIM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000099735 DENTISTS AT BIG BEND ACTIVE 2024-08-21 2029-12-31 - 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614

Documents

Name Date
Domestic Profit 2024-08-12

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Aug 2025

Sources: Florida Department of State