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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