Mudumba, Divya

Mudumba, Divya is an sole proprietor health care provider with primary practice located at 353 Rogers Ave , West Springfield MA 01089-1923. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mudumba, Divya can be contacted via phone (917) 535-2935.

Contact Information

Primary practice address
353 Rogers Ave West Springfield MA 01089-1923
Phone: (917) 535-2935
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN1858852 Massachusetts
Dental Providers / Dentist 122300000X 04592 New Hampshire

Profile Details

NPI number 1518579499
LBN Legal business name Mudumba, Divya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2020
Last updated Apr 24th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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