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Organization
MUGLESTON GREEN VALLEY MODERN DENTISTRY, PC
Active
Organization
MUGLESTON GREEN VALLEY MODERN DENTISTRY, PC
Active
Other names
Green Valley Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY P MUGLESTON DMD (OWNER DENTIST)
(702) 465-8187
Entity
Organization
Contact information
Practice address
4301 E SUNSET RD, 100, HENDERSON, NV 89014-2238
(702) 465-8187
(702) 558-9278
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
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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