| NPI | 1558620823 |
|---|---|
| Doing Business As | HENDERSON MODERN DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CODY P MUGLESTON Dds Owner 702-464-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4908) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2014-01-15 |