| Name | RICHARD A. NGUYEN, D.M.D. |
|---|---|
| Address | 1505 VIA CASSIA ST. |
| City | HENDERSON |
| State | NV |
| Zip | 89052 |
| Mailing Address | 8430 W FARM RD STE 120 |
| Mailing Address 2 | 8430 W FARM RD STE 120 |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89131 |
| Agent Type | Noncommercial Registered Agent |
| Company | BRITESMILE DENTAL, LLC |
|---|---|
| Entity Number | LLC9345-2002 |
| NV Business ID | NV20021095070 |