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FORT WASHINGTON DENTAL ASSOCIATES, PLLC

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Company Details

Name: FORT WASHINGTON DENTAL ASSOCIATES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Jun 2021 (4 years ago)
Entity Number: 6203974
ZIP code: 10032
County: New York
Place of Formation: New York
Address: 130 FORT WASHINGTON AVE, SUITE #1B, NEW YORK, NY, United States, 10032

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 130 FORT WASHINGTON AVE, SUITE #1B, NEW YORK, NY, United States, 10032

National Provider Identifier

NPI Number:
1275104887
Certification Date:
2021-07-06

Authorized Person:

Name:
VICTOR LEE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210622000028 2021-06-22 ARTICLES OF ORGANIZATION 2021-06-22

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State