0002041014-24-000001.txt : 20241022
0002041014-24-000001.hdr.sgml : 20241022
20241021185923
ACCESSION NUMBER: 0002041014-24-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20241022
DATE AS OF CHANGE: 20241021
EFFECTIVENESS DATE: 20241022
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Imagen Cohen Dental Support Services, LLC
CENTRAL INDEX KEY: 0002041014
ORGANIZATION NAME:
IRS NUMBER: 994638672
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-527399
FILM NUMBER: 241384370
BUSINESS ADDRESS:
STREET 1: 16220 NORTH SCOTTSDALE
STREET 2: SUITE 400
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85254
BUSINESS PHONE: (480) 590-3396
MAIL ADDRESS:
STREET 1: 16220 NORTH SCOTTSDALE
STREET 2: SUITE 400
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85254
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: IMAGEN DENTAL PARTNERS, LLC
CENTRAL INDEX KEY: 0001819319
ORGANIZATION NAME:
IRS NUMBER: 845189859
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-527399-01
FILM NUMBER: 241384371
BUSINESS ADDRESS:
STREET 1: 16220 N. SCOTTSDALE ROAD, SUITE 300
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85254
BUSINESS PHONE: 480-590-5701
MAIL ADDRESS:
STREET 1: 16220 N. SCOTTSDALE ROAD, SUITE 300
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85254
D
1
primary_doc.xml
X0708
D
LIVE
0002041014
Imagen Cohen Dental Support Services, LLC
16220 N. SCOTTSDALE ROAD
SUITE 400
SCOTTSDALE
AZ
ARIZONA
85254
(480) 590-3396
DELAWARE
None
None
Limited Liability Company
true
2024
0001819319
IMAGEN DENTAL PARTNERS, LLC
16220 N. SCOTTSDALE ROAD
SUITE 400
SCOTTSDALE
AZ
ARIZONA
85254
(480) 590-3396
DELAWARE
None
None
Limited Liability Company
true
2020
Rezwan
Manji
16220 North Scottsdale Road
Suite 400
Scottsdale
AZ
ARIZONA
85254
Executive Officer
Rezwan Manji is an executive officer of Imagen Dental Partners, LLC and Imagen Cohen Dental Support Services, LLC.
Michael
Augins
16220 North Scottsdale Road
Suite 400
Scottsdale
AZ
ARIZONA
85254
Executive Officer
Michael Augins is an executive officer of Imagen Dental Partners, LLC and Imagen Cohen Dental Support Services, LLC.
Other Health Care
Decline to Disclose
- 06b
false
2024-10-11
false
true
true
0
894415
894415
0
false
1
0
0
0
false
Imagen Cohen Dental Support Services, LLC
/s/Rezwan Manji
Rezwan Manji
Chief Execute Officer
2024-10-21
IMAGEN DENTAL PARTNERS, LLC
/s/Rezwan Manji
Rezwan Manji
Chief Execute Officer
2024-10-21