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Premiere Dental Spa at Madison Inc.

Details

Name: Premiere Dental Spa at Madison Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 30 Nov 2020 (4 years ago)
Entity Number: 000-822-752
Register Number: 000822752
County: Madison
Place of Formation: Alabama
Principal Address: 1037 Stones Throw DrHuntsville, AL 35806
Principal Address ZIP Code: 35806
Principal Mailing Address: P.O. Box 1903Madison, AL 35758
Principal Mailing Address ZIP Code: 35758
Authorized Capital: 10000

Activities The primary activities of the corporation can be described as fo

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659017838 2022-05-10 2022-05-10 102 ST LOUIS ST STE D, MADISON, AL, 357588028, US 102 ST LOUIS ST STE D, MADISON, AL, 357588028, US

Contacts

Phone +1 256-469-6428

Authorized person

Name DR. TENESHIA EARLINE DANIELS
Role OWNER
Phone 2564696428

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role
Daniels, Teneshia Daniels Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State