| NPI | 1740650118 |
|---|---|
| Doing Business As | GREEN VALLEY MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CODY P MUGLESTON Owner Dentist 702-465-8187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |