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LD-Tuscaloosa, LLC

Details

Name: LD-Tuscaloosa, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 05 Oct 2022 (2 years ago)
Entity Number: 001-043-302
Register Number: 001043302
County: Montgomery
Place of Formation: Mississippi
Registered Office Street Address: 2 North Jackson Street, Suite 605Montgomery, AL 36104
Registered Office Street Address ZIP Code: 36104
Principal Address: 306 Enterprise DriveOxford, MS 38655

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841907466 2022-11-02 2023-07-03 1434 2ND CT E, TUSCALOOSA, AL, 354013200, US 1434 2ND CT E, TUSCALOOSA, AL, 354013200, US

Contacts

Phone +1 205-752-5400
Fax 2057525311
Fax 6625862995

Authorized person

Name LAUREN S DAIGNEAULT
Role ADMIN DIRECTOR
Phone 2567839468

Taxonomy

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

Agent

Name Role
Capitol Corporate Services, Inc. Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State