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174 STREET DENTAL LLC

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Company Details

Name: 174 STREET DENTAL LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Jun 2009 (16 years ago)
Entity Number: 3825527
ZIP code: 10457
County: Bronx
Place of Formation: New York
Address: 1700 GRAND CONCOURSE #7D, BRONX, NY, United States, 10457

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1700 GRAND CONCOURSE #7D, BRONX, NY, United States, 10457

National Provider Identifier

NPI Number:
1134358427

Authorized Person:

Name:
DR. JUSTIN SYCAMORE
Role:
DENTIST
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
090623000452 2009-06-23 ARTICLES OF ORGANIZATION 2009-06-23

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State