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FAMILY DENTAL CENTER OF RHODE ISLAND, INC.

Company Details

Name: FAMILY DENTAL CENTER OF RHODE ISLAND, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 07 Jun 2002 (23 years ago)
Date of Dissolution: 21 Oct 2009 (15 years ago)
Date of Status Change: 21 Oct 2009 (15 years ago)
Identification Number: 000125179
ZIP code: 02895
County: Providence County
Principal Address: 2 MONUMENT SQUARE, WOONSOCKET, RI, 02895, USA
Purpose: DENTAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114059250 2007-03-12 2020-08-22 2 MONUMENT SQ, WOONSOCKET, RI, 028953059, US 2 MONUMENT SQ, WOONSOCKET, RI, 028953059, US

Contacts

Phone +1 401-949-2590

Authorized person

Name DR. HASAN ALSAWAF
Role PRESIDENT
Phone 4019492590

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 2683
State RI
Is Primary Yes

Agent

Name Role Address
DR. HASAN ALSAWAF Agent 492 PUTNAM PIKE, GREENVILLE, RI, 02828-, USA

PRESIDENT

Name Role Address
HASON ALSAWAF PRESIDENT 492 PUTNAM PIKE GREENVILLE, RI 02828- USA

Filings

Number Name File Date
200952976420 Revocation Certificate For Failure to File the Annual Report for the Year 2009-10-21
200948557860 Revocation Notice For Failure to File An Annual Report 2009-08-04
200808235130 Annual Report 2008-02-27

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State