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DENTISTS IN THE GROVE, PA

Company Details

Entity Name: DENTISTS IN THE GROVE, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 21 Aug 2024 (6 months ago)
Document Number: P24000053746
Address: 2750 SW 27TH TERRACE, SUITE 114, MIAMI, FL 33133
Mail Address: 17000 RED HILL AVENUE, IRVINE, CA 92614
ZIP code: 33133
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134952062 2024-08-26 2024-08-26 PO BOX 920050, DALLAS, TX, 753920050, US 2750 SW 27TH TER STE 114, MIAMI, FL, 331333064, US

Contacts

Phone +1 305-842-2878

Authorized person

Name NATHANIEL S GONZALES
Role OWNER
Phone 7148458500

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000103635 DENTISTS IN THE GROVE ACTIVE 2024-08-29 2029-12-31 No data 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614

Documents

Name Date
Domestic Profit 2024-08-21

Date of last update: 07 Feb 2025

Sources: Florida Department of State