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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