| J. Lothyan, D.D.S., P.L.L.C. | |
|
722 12th St Se Auburn WA 98002-6708 | |
| (253) 833-5137 | |
| (253) 939-6024 |
| Full Name | J. Lothyan, D.D.S., P.L.L.C. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 722 12th St Se, Auburn, Washington |
| Authorized Official Name and Position | Jessica a Bartlett (INSURANCE BILLING) |
| Authorized Official Contact | 4252555532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Lothyan, D.D.S., P.L.L.C. 722 12th St Se Auburn WA 98002-6708 Ph: (253) 833-5137 | J. Lothyan, D.D.S., P.L.L.C. 722 12th St Se Auburn WA 98002-6708 Ph: (253) 833-5137 |
| NPI Number | 1144556127 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 10/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144556127 | NPI | - | NPPES |
| 10882 | Other | WA | WASHINGTON STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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