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WAISE EBRAHIMI, DDS, P.C.

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Company Details

Name: WAISE EBRAHIMI, DDS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Dec 2020 (5 years ago)
Entity Number: 5903551
ZIP code: 10010
County: New York
Place of Formation: New York
Address: 668 6TH AVE., 3RD FL., NEW YORK, NY, United States, 10010

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 668 6TH AVE., 3RD FL., NEW YORK, NY, United States, 10010

National Provider Identifier

NPI Number:
1871181826
Certification Date:
2023-07-05

Authorized Person:

Name:
DR. WAISE EBRAHIMI
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
861192891
Plan Year:
2024
Number Of Participants:
0
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
201224000300 2020-12-24 CERTIFICATE OF INCORPORATION 2020-12-24

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State