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EMPIRE DENTAL, P.C.

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Company Details

Name: EMPIRE DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Jan 2004 (21 years ago)
Entity Number: 2998645
ZIP code: 11375
County: Queens
Place of Formation: New York
Principal Address: 112 01 QUEENS BLVD, STE 18J, FOREST HILLS, NY, United States, 11375
Address: 112-01 QUEENS BLVD. APT. 18J, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 112-01 QUEENS BLVD. APT. 18J, FOREST HILLS, NY, United States, 11375

Chief Executive Officer

Name Role Address
JAYSON LO Chief Executive Officer EMPIRE DENTAL PC, 112 01 QUEENS BLVD # 18J, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1346469467

Authorized Person:

Name:
DR. JAYSON C. LO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
7188888827

Filings

Filing Number Date Filed Type Effective Date
060215002571 2006-02-15 BIENNIAL STATEMENT 2006-01-01
040112000759 2004-01-12 CERTIFICATE OF INCORPORATION 2004-01-12

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State