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CHURCH AVENUE DENTAL, P.C.

Company Details

Name: CHURCH AVENUE DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Feb 2001 (24 years ago)
Entity Number: 2608060
ZIP code: 11218
County: Kings
Place of Formation: New York
Address: 113 CHURCH AVENUE 2ND FLOOR, BROOKLYN, NY, United States, 11218

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 113 CHURCH AVENUE 2ND FLOOR, BROOKLYN, NY, United States, 11218

National Provider Identifier

NPI Number:
1134118219

Authorized Person:

Name:
STEVE TARANOV
Role:
DDS
Phone:

Taxonomy:

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

Contacts:

Fax:
7185320917

Filings

Filing Number Date Filed Type Effective Date
010221000245 2001-02-21 CERTIFICATE OF INCORPORATION 2001-02-21

Date of last update: 30 Mar 2025

Sources: New York Secretary of State