| Name | HIMMAKONE PHOMMALY |
|---|---|
| Address | 6707 WEST CHALRESTON BLVD STE 3B |
| City | LAS VEGAS |
| State | NV |
| Zip | 89146 |
| Agent Type | Noncommercial Registered Agent |
| Company | ELENA BENJAMIN, DDS, A PROFESSIONAL CORPORATION |
|---|---|
| Entity Number | C16265-2003 |
| NV Business ID | NV20031396334 |