Individual
SUMAN HOTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10216 SE 256TH ST, KENT, WA 98030-6437
(253) 856-3384
Mailing address
10216 SE 256TH ST, KENT, WA 98030-6437
(253) 856-3384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60865245
WA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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