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Organization
DEEP MUKO DDS INC
Active
Organization
DEEP MUKO DDS INC
Active
Other names
Deep Muko DDS INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEP MUKO DDS (PRESIDENT)
(951) 303-2818
Entity
Organization
Contact information
Practice address
32605 TEMECULA PKWY STE 213, TEMECULA, CA 92592-6839
(951) 303-2818
(951) 303-6213
Mailing address
32605 TEMECULA PKWY STE 213, TEMECULA, CA 92592-6839
(951) 303-2818
(951) 303-6213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407
GENERAL DENTISTRY PRACTICE
CA
Enumeration date
08/25/2021
Last updated
10/25/2021
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