# INTEGRATIVE BY L&M

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrative Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356097109
- **Authorized official:** MUMTA HATHIRAMANI DMD (CO-OWNER)
- **Authorized official phone:** (908) 654-5151

## Contact information

- **Practice address:** 1122 ROUTE 22, MOUNTAINSIDE, NJ 07092-2812
- **Practice address phone:** (908) 654-5151
- **Mailing address:** 1122 ROUTE 22, MOUNTAINSIDE, NJ 07092-2812
- **Mailing address phone:** (908) 654-5151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2022
- **Last updated:** 03/11/2022