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UPPER WEST SIDE ORAL AND MAXILLOFACIAL SURGERY P.C.

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Company Details

Name: UPPER WEST SIDE ORAL AND MAXILLOFACIAL SURGERY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 May 2020 (5 years ago)
Entity Number: 5745865
ZIP code: 10023
County: New York
Place of Formation: New York
Address: 140 WEST 69TH ST, NEW YORK, NY, United States, 10023

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
NAM PARK DOS Process Agent 140 WEST 69TH ST, NEW YORK, NY, United States, 10023

National Provider Identifier

NPI Number:
1053921643
Certification Date:
2020-08-07

Authorized Person:

Name:
NAM PARK
Role:
DDS, MD
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
851035928
Plan Year:
2024
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2024
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
200504000345 2020-05-04 CERTIFICATE OF INCORPORATION 2020-05-04

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State