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Sam J. Citrano, Jr., DMD, P.C.

Details

Name: Sam J. Citrano, Jr., DMD, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 Jan 1997 (28 years ago)
Entity Number: 000-184-570
Register Number: 000184570
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 411 HOLMES AVENUE NORTHEASTHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $3,000
Paid Share Capital: $1,000

Activities DENTAL MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295790079 2006-04-18 2020-08-22 411 HOLMES AVE NE, HUNTSVILLE, AL, 358014142, US 411 HOLMES AVE NE, HUNTSVILLE, AL, 358014142, US

Contacts

Phone +1 256-534-7692
Fax 2565347692

Authorized person

Name DR. SAM J CITRANO JR.
Role DENTIST/OWNER
Phone 2565347692

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 4772
State AL
Is Primary Yes

Agent

Name Role
CITRANO, SAM J JR Agent

Incorporator

Name Role
CITRANO, SAM J JR Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State