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ADVANCED DENTAL OF WNY, P.C.

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Company Details

Name: ADVANCED DENTAL OF WNY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Sep 2021 (4 years ago)
Entity Number: 6287843
ZIP code: 14226
County: Erie
Place of Formation: New York
Address: 4927 main street, amherst, NY, United States, 14226

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 4927 main street, amherst, NY, United States, 14226

National Provider Identifier

NPI Number:
1356093744
Certification Date:
2022-01-26

Authorized Person:

Name:
DR. ROBERT J LACARRUBBA
Role:
OWNER/DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210923002971 2021-09-23 CERTIFICATE OF INCORPORATION 2021-09-23

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State