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BROOKSIDE DENTAL, PLLC

Company Details

Name: BROOKSIDE DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Jun 2004 (21 years ago)
Entity Number: 3072347
ZIP code: 14051
County: Erie
Place of Formation: New York
Address: 9736 TRANSIT RD, E. AMHERST, NY, United States, 14051

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 9736 TRANSIT RD, E. AMHERST, NY, United States, 14051

National Provider Identifier

NPI Number:
1043550098

Authorized Person:

Name:
DR. CHRISTINE GUARDINO
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
180620006345 2018-06-20 BIENNIAL STATEMENT 2018-06-01
140617006422 2014-06-17 BIENNIAL STATEMENT 2014-06-01
120702006146 2012-07-02 BIENNIAL STATEMENT 2012-06-01
100625002530 2010-06-25 BIENNIAL STATEMENT 2010-06-01
060523002162 2006-05-23 BIENNIAL STATEMENT 2006-06-01

Date of last update: 29 Mar 2025

Sources: New York Secretary of State