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MANHATTAN PARK DENTAL PLLC

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Company Details

Name: MANHATTAN PARK DENTAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Jan 2025 (6 months ago)
Entity Number: 7502419
ZIP code: 10002
County: New York
Place of Formation: New York
Address: 385 grand street, apt. l1603, NEW YORK, NY, United States, 10002

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 385 grand street, apt. l1603, NEW YORK, NY, United States, 10002

National Provider Identifier

NPI Number:
1720888910
Certification Date:
2025-03-28

Authorized Person:

Name:
DR. CAMILLE SUZETTE SAN MIGUEL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
No
Selected Taxonomy:
1223P0700X - Prosthodontist
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
2127028675

Filings

Filing Number Date Filed Type Effective Date
250108001140 2025-01-07 ARTICLES OF ORGANIZATION 2025-01-07

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State