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BROOKLYN FAMILY DENTAL P.C.

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Company Details

Name: BROOKLYN FAMILY DENTAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Dec 2023 (2 years ago)
Entity Number: 7217609
ZIP code: 11236
County: Kings
Place of Formation: New York
Address: 1761 ROCKAWAY PKWY, BROOKLYN, NY, United States, 11236

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1761 ROCKAWAY PKWY, BROOKLYN, NY, United States, 11236

National Provider Identifier

NPI Number:
1932953544
Certification Date:
2024-04-11

Authorized Person:

Name:
ANDREA SHIVRATTAN
Role:
MANAGEMENT
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240102004983 2023-12-29 CERTIFICATE OF INCORPORATION 2023-12-29

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State