Organization
DEEP MUKO DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEP MUKO DDS (PRESIDENT)
(951) 654-2121
Entity
Organization
Contact information
Practice address
1695 S SAN JACINTO AVE STE N, SAN JACINTO, CA 92583-5104
(951) 654-2121
Mailing address
32605 TEMECULA PARKWAY, SUITE 213, TEMECULA, CA 92592
(951) 303-2818
(951) 303-6123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
12/05/2022
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