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JD LOTHYAN, DDS, PLLC

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Company Details

Legal Name: JD LOTHYAN, DDS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 7th 2022
Expiration date: 31 Oct 2025
UBI Number: 604 978 060
ZIP code: 98051
City: Ravensdale
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 26712 SE 276TH ST, RAVENSDALE, WA, 98051-8216, UNITED STATES

Contact Details

E-Mail: RAGENT@KELLERROHRBACK.COM

Nature of Business

DENTAL PRACTICE

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Registered Agent Information

Name Role
KR SERVICES, LLC Registered Agent

Key Officers & Management

Name Role Address
JARED LOTHYAN, DDS Governing Person -
JARED LOTHYAN DDS EXECUTOR 26712 SE 276TH ST, RAVENSDALE, WA, 98051-8216, UNITED STATES

National Provider Identifier

NPI Number:
1689384299
Certification Date:
2022-12-05

Authorized Person:

Name:
JESSICA BARTLETT
Role:
BILLING INSURANCE COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

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