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Detail by Officer/Registered Agent Name
Florida Not For Profit Corporation
WEST COAST DISTRICT DENTAL ASSOCIATION, INC.
Filing Information
716635
59-1445866
05/28/1969
FL
ACTIVE
NAME CHANGE AMENDMENT
12/10/2001
NONE
Principal Address
Changed: 01/05/2011
1114 KYLE WOOD LANE
BRANDON, FL 33511
BRANDON, FL 33511
Changed: 01/05/2011
Mailing Address
Changed: 01/05/2011
1114 KYLE WOOD LANE
BRANDON, FL 33511
BRANDON, FL 33511
Changed: 01/05/2011
Registered Agent Name & Address
Zuknick, Lissette M, ms.
Name Changed: 03/15/2017
Address Changed: 03/15/2017
1114 KYLE WOOD LANE
BRANDON, FL 33511
BRANDON, FL 33511
Name Changed: 03/15/2017
Address Changed: 03/15/2017
Officer/Director Detail
Name & Address
Title Past President
Hurst, Rita Dr.
Title President
Karp, Lance, Dr.
Title Treasurer
Layman, William, Dr.
Title President-Elect
Johnson, Kristie, Dr.
Title 1st Vice President
Nguyen, Robin, Dr.
Title Secretary
Mazariegos, Stephanie, Dr.
Title Executive Director
Zuknick, Lissette
Title Past President
Hurst, Rita Dr.
6700 Crosswinds Dr N
#300B
St. Petersburg, FL 33710
#300B
St. Petersburg, FL 33710
Title President
Karp, Lance, Dr.
2100 Proctor Road
Sarasota, FL 34231
Sarasota, FL 34231
Title Treasurer
Layman, William, Dr.
501 S. Missouri Ave
Clearwater, FL 33756
Clearwater, FL 33756
Title President-Elect
Johnson, Kristie, Dr.
2700 East Bay Drive
Ste 204
Largo, FL 33771
Ste 204
Largo, FL 33771
Title 1st Vice President
Nguyen, Robin, Dr.
3165 McCullen Booth Road
#A2
Clearwater, FL 33761
#A2
Clearwater, FL 33761
Title Secretary
Mazariegos, Stephanie, Dr.
5628 Circa Fishhawk Blvd
Lithia, FL 33547
Lithia, FL 33547
Title Executive Director
Zuknick, Lissette
1114 Kyle Wood Lane
Brandon, FL 33511
Brandon, FL 33511
Annual Reports
Report Year | Filed Date |
2023 | 02/23/2023 |
2023 | 07/26/2023 |
2024 | 01/30/2024 |
Document Images