| Name | LEONARD M. FAUSTINA |
|---|---|
| Address | 2202 W. CHARLESTON BLVD. STE. 10 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89102 |
| Agent Type | Noncommercial Registered Agent |
| Company | DENTAL PLAN OF NEVADA LEONARD M. FAUSTINA DDS, CHARTERED |
|---|---|
| Entity Number | C490-1970 |
| NV Business ID | NV19701000507 |