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GLENN L. DOMINGUEZ, D.M.D., LLC

Company Details

Name: GLENN L. DOMINGUEZ, D.M.D., LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 15 Sep 2014 (10 years ago)
Identification Number: 000982993
ZIP code: 02895
County: Providence County
Principal Address: 2345 MENDON ROAD #3, WOONSOCKET, RI, 02895, USA
Purpose: DENTISTRY
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215332077 2014-10-22 2014-10-22 219 CASS AVE, SUITE E, WOONSOCKET, RI, 028954736, US 219 CASS AVE, SUITE E, WOONSOCKET, RI, 028954736, US

Contacts

Phone +1 401-766-9122
Fax 4017661110

Authorized person

Name DR. GLENN LEGASPI DOMINGUEZ
Role OWNER
Phone 4017669122

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DEN02402
State RI
Is Primary Yes

Agent

Name Role Address
MICHAEL W. ARAGAO Agent 2374 DIAMOND HILL ROAD, CUMBERLAND, RI, 02864, USA

Filings

Number Name File Date
202456993440 Annual Report 2024-06-19
202456835010 Revocation Notice For Failure to File An Annual Report 2024-06-18
202336462060 Annual Report 2023-05-31
202218098930 Annual Report 2022-06-01
202104284890 Annual Report 2021-10-29
202059853600 Annual Report 2020-10-01
201924987970 Annual Report 2019-10-22
201880547900 Annual Report 2018-10-31
201752226100 Annual Report 2017-10-25
201610599650 Annual Report 2016-10-19

Date of last update: 19 Oct 2024

Sources: Rhode Island Department of State