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THERESA C. FAN, DDS, PLLC

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Company Details

Name: THERESA C. FAN, DDS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Mar 2018 (7 years ago)
Entity Number: 5309765
ZIP code: 11501
County: Albany
Place of Formation: New York
Address: 120 HORTON HIGHWAY, APARTMENT D6, MINEOLA, NY, United States, 11501

Contact Details

Phone +1 516-382-4789

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 120 HORTON HIGHWAY, APARTMENT D6, MINEOLA, NY, United States, 11501

National Provider Identifier

NPI Number:
1205321304

Authorized Person:

Name:
DR. THERESA C FAN
Role:
OWNER/MEMBER
Phone:

Taxonomy:

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

Contacts:

Fax:
5163824789

Filings

Filing Number Date Filed Type Effective Date
180605000904 2018-06-05 CERTIFICATE OF PUBLICATION 2018-06-05
180323000096 2018-03-23 ARTICLES OF ORGANIZATION 2018-03-23

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State