| Name | BENJAMIN ELLSWORTH |
|---|---|
| Address | 505 BACHELOR BUTTON ST. |
| City | LAS VEGAS |
| State | NV |
| Zip | 89138 |
| Mailing Address | 505 BACHELOR BUTTON ST. |
| Mailing Address 2 | 505 BACHELOR BUTTON ST. |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89138 |
| Agent Type | Noncommercial Registered Agent |
| Company | ELLSWORTH PERIODONTICS AND IMPLANTOLOGY INC |
|---|---|
| Entity Number | E0347162014-6 |
| NV Business ID | NV20141435525 |