Individual
DR. MOHANA MUTHUKUMARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1616 BRUNSWICK AVE, LAWRENCEVILLE, NJ 08648-4630
(609) 392-5515
(609) 392-5464
Mailing address
#1616 BRUNSWICK AVE., LAWRENCEVILLE, NJ 08648
(609) 392-5515
(609) 392-5464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01951800
NJ
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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