| Green Valley Modern Dentistry | |
|
4301 E Sunset Rd 100 Henderson NV 89014-2238 | |
| (702) 465-8187 | |
| (702) 558-9278 |
| Full Name | Green Valley Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4301 E Sunset Rd, Henderson, Nevada |
| Authorized Official Name and Position | Cody P Mugleston (OWNER DENTIST) |
| Authorized Official Contact | 7024658187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Valley Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Green Valley Modern Dentistry 4301 E Sunset Rd 100 Henderson NV 89014-2238 Ph: (702) 465-8187 |
| NPI Number | 1740650118 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740650118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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