| Entity Name: | DENTISTS OF VISTA, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Aug 2024 (6 months ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Nov 2024 (3 months ago) |
| Document Number: | P24000053539 |
| Mail Address: | 17000 RED HILL AVENUE, IRVINE, CA 92614 |
| Address: | 7601 NARCOOSSEE RD, ORLANDO, FL 32822 |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700613247 | 2024-09-18 | 2024-09-18 | PO BOX 920050, DALLAS, TX, 753920050, US | 7601 NARCOOSSEE RD, ORLANDO, FL, 32822, US | |||||||||||||
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| Phone | +1 689-266-0882 |
Authorized person
| Name | SUNG NAM |
| Role | OWNER |
| Phone | 7148458500 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| NAM, SUNG, D.M.D. | President | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| PHAM, MINH, D.D.S. | Secretary | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| PHAM, MINH, D.D.S. | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| BUTTON, NICHOLAS, D.D.S. | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| NAM, SUNG MIN, D.M.D. | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| BUTTON, NICHOLAS, D.D.S. | Chief Executive Officer | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000109867 | DENTISTS OF VISTA | ACTIVE | 2024-09-04 | 2029-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-11-08 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2024-11-08 |
| Domestic Profit | 2024-08-20 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
