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CITY ISLAND DENTAL, P.C.

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Company Details

Name: CITY ISLAND DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Feb 2022 (4 years ago)
Entity Number: 6407352
ZIP code: 10460
County: Bronx
Place of Formation: New York
Address: 163 city island avenue, BRONX, NY, United States, 10460

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the professional corporation DOS Process Agent 163 city island avenue, BRONX, NY, United States, 10460

National Provider Identifier

NPI Number:
1265175558
Certification Date:
2022-04-15

Authorized Person:

Name:
JOHANNY RODRIGUEZ
Role:
DIRECTOR OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
7184806374

Filings

Filing Number Date Filed Type Effective Date
220217002083 2022-02-17 CERTIFICATE OF INCORPORATION 2022-02-17

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State