| Name: | Midtown Family Dental Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Dec 2019 (5 years ago) |
| Entity Number: | 000-594-602 |
| Register Number: | 000594602 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 3845 DOUBLE BRANCH DRSEMMES, AL 36575 |
| Registered Office Street Address ZIP Code: | 36575 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891335857 | 2020-01-08 | 2020-01-08 | 79 MIDTOWN PARK E, MOBILE, AL, 366064141, US | 79 MIDTOWN PARK E, MOBILE, AL, 366064141, US | |||||||||||||||
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| Phone | +1 251-473-3571 |
| Fax | 2514733581 |
Authorized person
| Name | DR. DONALD E WALTMAN III |
| Role | MANAGING MEMBER |
| Phone | 2514733571 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WALTMAN, DONALD E III | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
