Organization
JD LOTHYAN DDS PLLC
Active
Other names
Smile Surfers Kids' Dentistry Auburn
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BARTLETT (BILLING INSURANCE COORDINATOR)
(253) 833-5137
Entity
Organization
Contact information
Practice address
1110 HARVEY RD NE, AUBURN, WA 98002-4218
(253) 357-0592
Mailing address
16209 64TH ST E STE 102, SUMNER, WA 98390-3070
(253) 833-5137
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5061395
—
WA
Enumeration date
12/05/2022
Last updated
12/05/2022
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