NOVA DENTAL GROUP, INC.
Dentist at 11 St, Fort Lauderdale, FL

License number
Florida 10763
Issued Date
Oct 18, 2001
Effective Date
Feb 12, 2016
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental Laboratory
Address
Address
6152 NW 11Th St, Fort Lauderdale, FL 33313
Phone
(954) 975-0889
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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NOVA DENTAL GROUP, INC

Ft Lauderdale, FL  -  Pompano Beach, FL  -  Lake Worth, FL

Registration:
Mar 1, 2010
Addresses:
6152 NW 11 St, Ft Lauderdale, FL 33313 (Physical)
2333 N State Rd 7, Pompano Beach, FL 33063
63222 Dornith Ln, Lake Worth, FL 33463
State ID:
P10000017918
Business type:
Florida Profit Corporation
Vice Presidents:
Ruben Culebro (President), 6395 Barton Crk Cir, Lake Worth, FL 33463 (Physical),Alicia Martinez (Vice President), 6395 Barton Crk Cir, Lake Worth, FL 33463 (Physical)
Agent:
A & J Tax Service Inc,2620 Buttonwood Ave, Hollywood, FL 33025 (Physical)
EIN:
272008073

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