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kdentistry26 LLC

Details

Name: kdentistry26 LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Jul 2021 (3 years ago)
Entity Number: 000-874-983
Register Number: 000874983
County: Chambers
Place of Formation: Alabama
Registered Office Street Address: 403 N Gilmer Ave STE BLanett, AL 36863
Registered Office Street Address ZIP Code: 36863

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356016059 2021-08-13 2021-08-13 403 N GILMER AVE STE B, LANETT, AL, 368632053, US 403 N GILMER AVE STE B, LANETT, AL, 368632053, US

Contacts

Phone +1 334-623-0180
Fax 3346230190

Authorized person

Name DR. YOUNG DO KIM
Role MEMBER
Phone 4046415993

Taxonomy

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

Other Provider Identifiers

Issuer INDIVIDUAL NPI
Number 1841892247

Agent

Name Role
Kim, Young Do Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State