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MAGNOLIA DENTAL, INC.

Company Details

Entity Name: MAGNOLIA DENTAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 13 Apr 1993 (32 years ago)
Document Number: P93000027236
FEI/EIN Number 593172923
Address: 115-B SALEM COURT, TALLAHASSEE, FL, 32301
Mail Address: 115-B SALEM COURT, TALLAHASSEE, FL, 32301
ZIP code: 32301
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164159398 2022-08-08 2022-08-08 521 CAPE CORAL PKWY W, CAPE CORAL, FL, 339148507, US 521 CAPE CORAL PKWY W, CAPE CORAL, FL, 339148507, US

Contacts

Phone +1 239-542-1500

Authorized person

Name DR. SEAN WESLEY COYLE
Role OWNER DENTIST
Phone 2395421500

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
MONTALVO RALPH D Agent 115-B SALEM COURT, TALLAHASSEE, FL, 32308

President

Name Role Address
MONTALVO RALPH President 3216 STORRINGTON DR., TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 1997-09-26 No data No data
REINSTATEMENT 1995-09-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1995-08-25 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State