| Henderson Modern Dentistry | |
|
386 W Lake Mead Pkwy Suite 100 Henderson NV 89015-7417 | |
| (702) 464-3090 | |
| Not Available |
| Full Name | Henderson Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 386 W Lake Mead Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Cody Mugleston (OWNER DOCTOR) |
| Authorized Official Contact | 7024643090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henderson Modern Dentistry 831 Coronado Center Dr #22205 Henderson NV 89052-3991 Ph: (516) 343-8731 | Henderson Modern Dentistry 386 W Lake Mead Pkwy Suite 100 Henderson NV 89015-7417 Ph: (702) 464-3090 |
| NPI Number | 1083098032 |
|---|---|
| Provider Enumeration Date | 07/18/2015 |
| Last Update Date | 07/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083098032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6650 (Nevada) | Primary |
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