| Name: | Milestone Family Dentistry, P C |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 24 Nov 2015 (9 years ago) |
| Entity Number: | 000-349-746 |
| Register Number: | 000349746 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | 21040 MIFLIN ROADFOLEY, AL 36535 |
| Principal Address ZIP Code: | 36535 |
| Authorized Capital: | 100 @ $1.00 PV |
Activities
PERFORMANCE OF PROFESSIONAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871950923 | 2016-01-20 | 2016-01-20 | 2200 US HIGHWAY 98, SUITE 8, DAPHNE, AL, 365264395, US | 2200 US HIGHWAY 98, SUITE 8, DAPHNE, AL, 365264395, US | |||||||||||||||||||
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| Phone | +1 251-626-0092 |
| Fax | 2516260092 |
Authorized person
| Name | DR. MIRIAM PERDOMO-WATTS |
| Role | OWNER/DENTIST |
| Phone | 2516260092 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5105 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PERDOMO-WATTS, MIRIAM | Director | 21040 MIFLIN ROADFOLEY, AL 36535 |
| Name | Role | Address |
|---|---|---|
| PERDOMO-WATTS, MIRIAM | Agent | 21040 MIFLIN ROADFOLEY, AL 36535 |
| Name | Role | Address |
|---|---|---|
| DAVIS, RICHARD E | Incorporator | 27180 POLLARD ROADDAHNE, AL 36526 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
