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BOUTIQUE DENTAL P.C.

BOUTIQUE DENTAL P.C.

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Company Details

Name:	BOUTIQUE DENTAL P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	12 Aug 2013 (12 years ago)
Entity Number:	4443921
ZIP code:	11375
County:	Queens
Place of Formation:	New York
Address:	102-10 63RD ROAD, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	102-10 63RD ROAD, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:

1285079962

Link:

View on NPI website

Authorized Person:

Name:

DR. YELENA M MULLAKANDOVA

Role:

OWNER/DENTIST

Phone:

9176401100

Taxonomy:

Selected Taxonomy:

261QD0000X - Dental Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 718-821-0170

History

Start date	End date	Type	Value
2013-08-12	2024-03-22	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number	Date Filed	Type	Effective Date
130812000420	2013-08-12	CERTIFICATE OF INCORPORATION	2013-08-12

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$37,500

Date Approved:

2021-02-02

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$37,500

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$37,762.35

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $37,498
Utilities: $1