Name: | Anthony Dental Services P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 08 Jun 2009 (15 years ago) |
Entity Number: | 000-261-143 |
Register Number: | 000261143 |
County: | Morgan |
Place of Formation: | Montgomery County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 466 ALABAMA 67 SDECATUR, AL 35603 |
Registered Office Street Address ZIP Code: | 35603 |
Authorized Capital: | 100 |
Activities
DENTISTRY SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1992934855 | 2009-07-13 | 2010-06-23 | 466 HIGHWAY 67 S, DECATUR, AL, 356036300, US | 466 HIGHWAY 67 S, DECATUR, AL, 356036300, US | |||||||||||||||||
|
Phone | +1 256-355-0199 |
Authorized person
Name | DR. JASSEN ALLEN ANTHONY |
Role | PRESIDENT |
Phone | 2563550199 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
License Number | 5673 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
ANTHONY, JASSEN A | Agent |
Name | Role | Address |
---|---|---|
GALLO, EILEEN | Incorporator | 101 N BRAND BLVD 11TH FLOORGLENDALE, CA 91203 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State