Mugleston Green Valley Modern Dentistry, PC

NPI #1740650118 in Henderson, Nevada

Provider Information

NPI Number: 1740650118
Entity Type: Organization
Organization Name: Mugleston Green Valley Modern Dentistry, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 29, 2015
Last Updated: Sep 29, 2015

Practice Location

Address: 4301 E SUNSET RD
Address 2: 100
City: Henderson
State: Nevada
ZIP Code: 89014-2238
Phone: (702) 465-8187

Authorized Official

Name: DR. CODY P MUGLESTON, DMD
Title: OWNER DENTIST
Phone: (702) 465-8187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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