Detail by Officer/Registered Agent Name

Florida Profit Corporation

PALM BEACH DENTAL GROUP, P.A.

Filing Information
P04000153528 20-1864696 11/09/2004 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/25/2009 NONE
Principal Address
1037 STATE ROAD 7
11
WELLINGTON, FL 33414

Changed: 04/27/2007
Mailing Address
5440 MILITARY TRAIL STE 11
JUPITER, FL 33458
Registered Agent Name & Address CORPORATE CREATIONS NETWORK INC.
11380 PROSPERITY FARMS ROAD #221E
PALM BEACH GARDENS, FL 33410
Officer/Director Detail Name & Address

Title DR

RUDNICK, ANDREW
5440 MILITARY TRAIL STE 11
JUPITER, FL 33458

Annual Reports
Report YearFiled Date
2006 01/22/2006
2007 04/27/2007
2008 04/24/2008