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 |
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 | |||||||||||||||||||
|
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 |
Name | Role |
---|---|
Kim, Young Do | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State