Organization
JARED D. LOTHYAN DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED D. LOTHYAN DDS, PS (DENTIST)
(425) 255-5532
Entity
Organization
Contact information
Practice address
364 RENTON CENTER WAY SW STE 62, RENTON, WA 98055-2378
(425) 255-5532
(425) 255-1658
Mailing address
364 RENTON CENTER WAY SW #62, RENTON, WA 98057
(425) 255-5532
(425) 255-1658
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
12/31/2008
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