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Restoration Dental LLC

Details

Name: Restoration Dental LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Sep 2023 (a year ago) (Companies founded in September 2023)
Entity Number: 001-100-406
Register Number: 001100406
ZIP code: 36330 (Companies in Coffee, 36330)
County: Coffee
Place of Formation: Alabama
Registered Office Street Address: 800 George Wallace DriveEnterprise, AL 36330

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760244750 2024-01-25 2024-01-25 800 GEORGE WALLACE DR, ENTERPRISE, AL, 363303201, US 1205 BOLL WEEVIL CIR, ENTERPRISE, AL, 363301377, US

Contacts

Phone +1 334-806-6111

Authorized person

Name DR. MICHAEL ERNEST LOVE
Role DENTIST
Phone 3348066111

Taxonomy

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

Agent

Name Role
Love, Michael E Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State