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
—
—
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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