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AUSTIN DENTAL CARE, P.C.

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Company Details

Name: AUSTIN DENTAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 May 2004 (21 years ago)
Entity Number: 3059193
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 102-10 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
FARANAN BALAZADEH Chief Executive Officer 102-10 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 102-10 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1831402536

Authorized Person:

Name:
DR. DAVID TABAROKI
Role:
ORAL SURGEON
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
7182332723

History

Start date End date Type Value
2013-05-06 2019-08-15 Address 102-10 QUEENS BLVD, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
2004-05-27 2013-05-06 Address 8 JOHN STREET, PLAINVIEW, NY, 11803, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190815002028 2019-08-15 BIENNIAL STATEMENT 2018-05-01
130506002479 2013-05-06 BIENNIAL STATEMENT 2012-05-01
040527000471 2004-05-27 CERTIFICATE OF INCORPORATION 2004-05-27

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State