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Dental Group of Pawtucket, Inc.

Company Details

Name: Dental Group of Pawtucket, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 11 Mar 2002 (23 years ago)
Identification Number: 000123437
ZIP code: 02861
County: Providence County
Principal Address: 1571 NEWPORT AVENUE SUITE 2, PAWTUCKET, RI, 02861, USA
Purpose: TO ENGAGE IN THE PRACTICE OF GENERAL DENTISTRY
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740451509 2008-03-19 2008-03-19 1571 NEWPORT AVE, SUITE 2, PAWTUCKET, RI, 028611351, US 1571 NEWPORT AVE, SUITE 2, PAWTUCKET, RI, 028611351, US

Contacts

Phone +1 401-722-3344
Fax 4017259755

Authorized person

Name DR. RAJ V DULALA
Role OWNER
Phone 4017223344

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
VENKAT RAJ DULALA Agent 1571 NEWPORT AVENUE SUITE 2, PAWTUCKET, RI, 02861, USA

PRESIDENT

Name Role Address
RAJ V. DULALA PRESIDENT 1571 NEWPORT AVENUE, SUITE 2 PAWTUCKET, RI 02861 USA

Filings

Number Name File Date
202458828830 Annual Report 2024-08-14
202457153690 Revocation Notice For Failure to File An Annual Report 2024-06-25
202222770190 Annual Report 2022-09-26
202221397280 Annual Report 2022-07-18
202220065720 Revocation Notice For Failure to File An Annual Report 2022-06-27
202184277050 Annual Report 2021-01-05
201929722800 Annual Report 2019-12-11
201883280110 Annual Report 2018-12-27
201860176610 Annual Report 2018-03-14
201739147080 Annual Report 2017-04-27

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State