| Name | THOMAS L. FERNANDES, DDS |
|---|---|
| Address | 276 KINGSBURY GRADE, STE. 1000 |
| City | STATELINE |
| State | NV |
| Zip | 89449 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | FERNANDES PROFESSIONAL CORPORATION LAKE TAHOE DENTAL |
|---|---|
| Entity Number | E0457812015-9 |
| NV Business ID | NV20151577871 |