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Signature Smile, L.L.C.

Details

Name: Signature Smile, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 Jul 2008 (16 years ago)
Entity Number: 000-422-331
Register Number: 000422331
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 2247 HELTON DRFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630

Activities DENTAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003254723 2013-06-05 2013-06-05 2247 HELTON DR, FLORENCE, AL, 356301035, US 2247 HELTON DR, FLORENCE, AL, 356301035, US

Contacts

Phone +1 256-767-6453
Fax 2567645370

Authorized person

Name MRS. SADRICIA WILSON
Role OFFICE
Phone 2567676453

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 3465
State AL
Is Primary Yes

Agent

Name Role
WILSON, L DON Agent

Member

Name Role
WILSON, L DON Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State