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Organization
MUGLESTON HENDERSON MODERN DENTISTRY, PC
Active
Organization
MUGLESTON HENDERSON MODERN DENTISTRY, PC
Active
Other names
Henderson Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY P MUGLESTON (DDS-OWNER)
(702) 464-3090
Entity
Organization
Contact information
Practice address
366 W LAKE MEAD PKWY STE 100, HENDERSON, NV 89015-7287
(702) 464-3090
(702) 464-3158
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4908
NV
Other
Enumeration date
05/08/2012
Last updated
01/15/2014
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