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GRANT BLVD. DENTAL, PLLC

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Company Details

Name: GRANT BLVD. DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Apr 2003 (22 years ago)
Entity Number: 2895476
ZIP code: 13208
County: Onondaga
Place of Formation: New York
Address: 1500 GRANT BLVD, SYRACUSE, NY, United States, 13208

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1500 GRANT BLVD, SYRACUSE, NY, United States, 13208

National Provider Identifier

NPI Number:
1982729091

Authorized Person:

Name:
DR. JUAN C KASSAB
Role:
OWNER DENTIST
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2003-04-16 2005-05-13 Address 1500 GRAND BOULEVARD, SYRACUSE, NY, 13208, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170405006789 2017-04-05 BIENNIAL STATEMENT 2017-04-01
150402007283 2015-04-02 BIENNIAL STATEMENT 2015-04-01
130410006567 2013-04-10 BIENNIAL STATEMENT 2013-04-01
110503002303 2011-05-03 BIENNIAL STATEMENT 2011-04-01
090416002687 2009-04-16 BIENNIAL STATEMENT 2009-04-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State