Healthcare Provider Details

I. General information

NPI: 1821925892
Provider Name (Legal Business Name): R. MUKHERJEE DENTAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27315 JEFFERSON AVE STE G2
TEMECULA CA
92590-5609
US

IV. Provider business mailing address

27315 JEFFERSON AVE STE G2
TEMECULA CA
92590-5609
US

V. Phone/Fax

Practice location:
  • Phone: 951-296-9661
  • Fax: 951-296-9655
Mailing address:
  • Phone: 951-296-9661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. RIKU MUKHERJEE
Title or Position: OWNER
Credential: DDS
Phone: 951-296-9661