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366 W Lake Mead Pkwy Ste 100 Henderson NV 89015-7287 | |
| (702) 464-3090 | |
| (702) 464-3158 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 366 W Lake Mead Pkwy Ste 100, Henderson, Nevada |
| Authorized Official Name and Position | Cody P Mugleston (DDS-OWNER) |
| Authorized Official Contact | 7024643090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 366 W Lake Mead Pkwy Ste 100 Henderson NV 89015-7287 Ph: (702) 464-3090 |
| NPI Number | 1558620823 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 01/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558620823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4908 (Nevada) | Primary |
Valudental Sunset Boyd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 W Sunset Rd Ste 7, Henderson, NV 89014 Phone: 702-674-7000 | |