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Ruffner Mountain Restoration Dental LLC

Details

Name: Ruffner Mountain Restoration Dental LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 29 Jul 2015 (9 years ago) (Companies founded in July 2015)
Entity Number: 000-341-305
Register Number: 000341305
ZIP code: 35210 (Companies in Jefferson, 35210)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2806 RUFFNER ROAD SUITE 202IRONDALE, AL 35210

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376991885 2016-05-25 2016-06-08 2806 RUFFNER RD, 202, IRONDALE, AL, 352103926, US 2806 RUFFNER RD, 202, IRONDALE, AL, 352103926, US

Contacts

Phone +1 205-851-4281
Fax 2058514282

Authorized person

Name DR. G JARI ROLLE
Role DENTIST
Phone 2058514281

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 5637
State AL
Is Primary Yes

Agent

Name Role
ROLLE, GERRARD Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State