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MODERN DENTISTRY OF LONG ISLAND P.C.

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Company Details

Name: MODERN DENTISTRY OF LONG ISLAND P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Mar 2022 (3 years ago)
Entity Number: 6418983
ZIP code: 11788
County: Suffolk
Place of Formation: New York
Address: 400 townline road, HAUPPAUGE, NY, United States, 11788

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 400 townline road, HAUPPAUGE, NY, United States, 11788

National Provider Identifier

NPI Number:
1487302006
Certification Date:
2022-03-13

Authorized Person:

Name:
DR. HILSHA CARRION
Role:
DENTIST
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220302000772 2022-03-01 CERTIFICATE OF INCORPORATION 2022-03-01

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State