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CHURCH AVENUE FAMILY DENTAL, P.C.

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Company Details

Name: CHURCH AVENUE FAMILY DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Feb 2007 (18 years ago)
Entity Number: 3471906
ZIP code: 11218
County: Kings
Place of Formation: New York
Address: 1025 CHURCH AVENUE, 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 1025 CHURCH AVENUE, BROOKLYN, NY, United States, 11218

National Provider Identifier

NPI Number:
1053584409

Authorized Person:

Name:
FARSHID ASSADERAGHI
Role:
D.D.S
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
070202000804 2007-02-02 CERTIFICATE OF INCORPORATION 2007-02-02

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State