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FAMILY DENTAL CARE OF MASSAPEQUA P.C.

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Company Details

Name: FAMILY DENTAL CARE OF MASSAPEQUA P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 May 2023 (2 years ago)
Entity Number: 6820983
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 549 broadway, suite 102, MASSAPEQUA, NY, United States, 11758

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 549 broadway, suite 102, MASSAPEQUA, NY, United States, 11758

National Provider Identifier

NPI Number:
1053189555
Certification Date:
2023-12-13

Authorized Person:

Name:
DR. KIMBERLY CARSTENS
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
5165417607

Filings

Filing Number Date Filed Type Effective Date
230501005266 2023-05-01 CERTIFICATE OF INCORPORATION 2023-05-01

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State