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MOBILE ENDODONTICS, PC

Details

Name: MOBILE ENDODONTICS, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 26 Sep 2018 (6 years ago)
Entity Number: 000-531-620
Register Number: 000531620
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 508 GEORGIAN DRIVEMOBILE, AL 36609
Registered Office Street Address ZIP Code: 36609
Authorized Capital: 5000 @ $1.00 PV

Activities PRACTICE OF ENDODONTICS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467929018 2018-10-31 2018-10-31 508 GEORGIAN DR, MOBILE, AL, 366093432, US 508 GEORGIAN DR, MOBILE, AL, 366093432, US

Contacts

Phone +1 251-342-3433
Fax 2513423515

Authorized person

Name DR. JOAN-MARIE SHANAHAN MANOLAKIS
Role PRACTICE OWNER/ENDODONTIST
Phone 2513423433

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
Is Primary Yes

Director

Name Role Address
MANOLAKIS, JOAN-MARIE Director 508 GEORGIAN DRIVEMOBILE, AL 36609

Agent

Name Role Address
MANOLAKIS, JOAN-MARIE Agent 508 GEORGIAN DRIVEMOBILE, AL 36609

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State