# DEEP MUKO DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deep Muko DDS INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124795208
- **Authorized official:** DR. DEEP MUKO DDS (PRESIDENT)
- **Authorized official phone:** (951) 303-2818

## Contact information

- **Practice address:** 32605 TEMECULA PKWY STE 213, TEMECULA, CA 92592-6839
- **Practice address phone:** (951) 303-2818
- **Practice address fax:** (951) 303-6213
- **Mailing address:** 32605 TEMECULA PKWY STE 213, TEMECULA, CA 92592-6839
- **Mailing address phone:** (951) 303-2818
- **Mailing address fax:** (951) 303-6213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2021
- **Last updated:** 10/25/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0407 | GENERAL DENTISTRY PRACTICE | CA |