| NPI | 1346675386 |
|---|---|
| Doing Business As | MUGLESTON MACDONALD RANCH MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CODY P MUGLESTON Owner Doctor 702-560-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2014-01-02 |