Deep Muko DDS, Inc.
Deep Muko DDS, Inc. is a healthcare organization registered as Dentist in San Jacinto, CA, holding Type 2 (organization) NPI 1104543792 since 2022. The authorized official on file is Deep Muko, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104543792 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Deep Muko DDS, Inc. |
| Practice address | 1695 S SAN JACINTO AVE STE N, San Jacinto, CA, 92583 |
| Phone | 9516542121 |
| Enumeration date | 2022-10-24 |
| Last updated in NPPES | 2022-12-05 |
Authorized official
| Name | Deep Muko |
|---|---|
| Title | President |
| Phone | 9516542121 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Copy-ready billing details
Provider: Deep Muko DDS, Inc. NPI: 1104543792 Taxonomy: 122300000X (Dentist) Address: 1695 S SAN JACINTO AVE STE N, San Jacinto, CA, 92583
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679190342 | Nardeen Boulos | Individual | Dentist | San Jacinto, CA |
Verify this record
Cross-check NPI 1104543792 against the authoritative CMS record: view Deep Muko DDS, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Deep Muko DDS, Inc.?
Who is the authorized official for Deep Muko DDS, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-12-05.