| Name: | Dieguez-Marino Orthodontics, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 25 Aug 1995 (29 years ago) |
| Entity Number: | 000-174-074 |
| Register Number: | 000174074 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2072 CAHABA CREST DRBIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | ---- |
Activities
PROVIDE ORTHODONTIC SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124104575 | 2006-10-28 | 2020-08-22 | 2072 CAHABA CREST DR, BIRMINGHAM, AL, 352424417, US | 2800 GREYSTONE COMMERCIAL BLVD, SUITE 4-A, BIRMINGHAM, AL, 352422667, US | |||||||||||||||||
|
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| Phone | +1 205-980-4744 |
Authorized person
| Name | DR. BERTHA MARIA DIEGUEZ-MARINO |
| Role | ORTHODONTIST |
| Phone | 2059804744 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | 4224 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIEGUEZ-MARINO, BERTHA | Agent | 2072 CAHABA CREST DRIVEHOOVER, AL 35242 |
| Name | Role | Address |
|---|---|---|
| DIEGUEZ-MARINO, BERTHA | Incorporator | 2072 CAHABA CREST DRIVEHOOVER, AL 35242 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
