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EAST SIDE PEDIATRIC DENTAL P.C.

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Company Details

Name: EAST SIDE PEDIATRIC DENTAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Aug 2015 (10 years ago)
Entity Number: 4805223
ZIP code: 10013
County: New York
Place of Formation: New York
Address: 128 MOTT STREET, SUITE 403, NEW YORK, NY, United States, 10013

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 128 MOTT STREET, SUITE 403, NEW YORK, NY, United States, 10013

National Provider Identifier

NPI Number:
1538539986

Authorized Person:

Name:
DR. JESSICA LOO MARN
Role:
PEDIATRIC DENTIST/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
2129658114

Form 5500 Series

Employer Identification Number (EIN):
474855093
Plan Year:
2024
Number Of Participants:
15
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
150814000661 2015-08-14 CERTIFICATE OF INCORPORATION 2015-08-14

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State