Details for APPLICATION FOR REGISTRATION OF TRADE NAME

APPLICATION FOR REGISTRATION OF TRADE NAME Trade Name: Central Nebraska Orthodontics Applicant: Nebraska Dental Specialty Group, LLC Address: 530 N Diers Ave., Grand Island, NE 68803 General nature of business: Delivery of Orthodontic Services Applicant is a Limited Liability Company whose laws entity were formed in the State of Nebraska. Date of first use of name in Nebraska: When approved Date of filing: 10/20/2020 STATE OF NEBRASKA ss. SECRETARY'S OFFICE Received, filed and recorded #9000562199 /s/Dr. Steven Meier Signature of applicant 29

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