| Name | JOSEPH Y. CHAN, D.D.S. |
|---|---|
| Address | 229 N. STEPHANIE ST. SUITE C |
| City | HENDERSON |
| State | NV |
| Zip | 89704 |
| Mailing Address | 1215 PANINI DR. |
| Mailing Address 2 | 1215 PANINI DR. |
| Mailing City | HENDERSON |
| Mailing State | NV |
| Mailing Zip | 89052 |
| Agent Type | Noncommercial Registered Agent |
| Company | COLUMBIA DENTAL JOSEPH Y. CHAN D.D.S. PROF. CORP. |
|---|---|
| Entity Number | C18839-2002 |
| NV Business ID | NV20021381392 |