Individual
JARED LOTHYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
364 RENTON CENTER WAY SW STE 62, RENTON, WA 98057-2378
(425) 255-5532
Mailing address
364 RENTON CENTER WAY SW STE 62, RENTON, WA 98057-2378
(425) 255-5532
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE 00010882
WA
Other
Enumeration date
09/20/2006
Last updated
07/02/2008
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