| NPI | 1083098032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY MUGLESTON Owner Doctor 702-464-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 6650) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |