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DENTISTS IN THE GROVE, PA - Florida Company Profile

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Company Details

Entity Name: DENTISTS IN THE GROVE, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Aug 2024 (a year ago)
Document Number: P24000053746
FEI/EIN Number 99-4607138
Mail Address: 17000 RED HILL AVENUE, IRVINE, CA, 92614
Address: 2750 SW 27TH TERRACE, SUITE 114, MIAMI, FL, 33133
ZIP code: 33133
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Pham Minh President 17000 Red Hill Ave., Irvine, CA, 92614
Gonzales Vigon Monica Treasurer 17000 Red Hill Ave., Irvine, CA, 92614
Hondoy Daris Director 17000 Red Hill Ave., Irvine, CA, 92614
Ghazal Carolyn Director 17000 Red Hill Ave., Irvine, CA, 92614
- Agent -

National Provider Identifier

NPI Number:
1134952062
Certification Date:
2024-08-26

Authorized Person:

Name:
NATHANIEL S GONZALES
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
G24000103635 DENTISTS IN THE GROVE ACTIVE 2024-08-29 2029-12-31 - 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614

Documents

Name Date
Domestic Profit 2024-08-21

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Date of last update: 02 Aug 2025

Sources: Florida Department of State