Organization
INTEGRATIVE BY L&M
Active
Other names
Integrative Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MUMTA HATHIRAMANI DMD (CO-OWNER)
(908) 654-5151
Entity
Organization
Contact information
Practice address
1122 ROUTE 22, MOUNTAINSIDE, NJ 07092-2812
(908) 654-5151
Mailing address
1122 ROUTE 22, MOUNTAINSIDE, NJ 07092-2812
(908) 654-5151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/11/2022
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