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BRONX RIVER DENTAL, P.C.

Company Details

Name: BRONX RIVER DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Nov 2012 (13 years ago)
Entity Number: 4316001
ZIP code: 10467
County: Bronx
Place of Formation: New York
Address: 3000 BRONX PARK EAST, BRONX, NY, United States, 10467

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3000 BRONX PARK EAST, BRONX, NY, United States, 10467

National Provider Identifier

NPI Number:
1336487131

Authorized Person:

Name:
DR. EZRO FATTAKHOV
Role:
DOCTOR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
125J00000X - Dental Therapist
Is Primary:
Yes

Contacts:

Fax:
7187086966

Filings

Filing Number Date Filed Type Effective Date
121114000215 2012-11-14 CERTIFICATE OF AMENDMENT 2012-11-14
121102000385 2012-11-02 CERTIFICATE OF INCORPORATION 2012-11-02

Date of last update: 26 Mar 2025

Sources: New York Secretary of State