Individual
CODY PAUL MUGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
545 MARKS ST STE 100, HENDERSON, NV 89014-6501
(702) 425-3697
Mailing address
545 MARKS ST STE 100, HENDERSON, NV 89014-6501
(702) 425-3697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
32780
TX
1223G0001X
General Practice Dentistry
Primary
6168
NV
Other
Enumeration date
07/28/2011
Last updated
03/17/2018
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