Organization
J. LOTHYAN, D.D.S., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA A BARTLETT (INSURANCE BILLING)
(425) 255-5532
Entity
Organization
Contact information
Practice address
722 12TH ST SE, AUBURN, WA 98002-6708
(253) 833-5137
(253) 939-6024
Mailing address
722 12TH ST SE, AUBURN, WA 98002-6708
(253) 833-5137
(253) 939-6024
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10882
WASHINGTON STATE DENTAL LICENSE
WA
Enumeration date
10/26/2009
Last updated
10/26/2009
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