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Camellia Dental Care, LLC

Details

Name: Camellia Dental Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 25 Mar 2019 (6 years ago)
Date of dissolution: 22 Apr 2022
Entity Number: 000-547-547
Register Number: 000547547
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 1800 MCFARLAND BOULEVARD SUITE 230TUSCALOOSA, AL 35406
Registered Office Street Address ZIP Code: 35406

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154974277 2019-07-17 2019-07-17 3985 PARKWOOD RD STE 109, #203, BESSEMER, AL, 350225691, US 1800 MCFARLAND BLVD N STE 230, TUSCALOOSA, AL, 354062179, US

Contacts

Phone +1 205-292-0036
Phone +1 205-345-1136

Authorized person

Name TIMOTHY GEORGE HOLLAND
Role CHIEF FINANCIAL OFFICER
Phone 2052920036

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role Address
HOLLAND, TIM Agent 1800 MCFARLAND BOULEVARD SUITE 230TUSCALOOSA, AL 35406

Organizer

Name Role Address
HOLLAND, TIM Organizer 1800 MCFARLAND BOULEVARD SUITE 230TUSCALOOSA, AL 35406

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State