| Name | JAKE GUSTAFSON |
|---|---|
| Address | 3230 POLARIS AVE. STE. 24 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89102 |
| Mailing Address | PO BOX 31023 |
| Mailing Address 2 | PO BOX 31023 |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89173 |
| Agent Type | Noncommercial Registered Agent |
| Company | LIBERTY ORTHODONTICS, LLC |
|---|---|
| Entity Number | LLC17359-2003 |
| NV Business ID | NV20031175348 |