-- JAYANTHI BANTWAL -- DDS
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1699890335- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 24837 104TH AVE SE STE 103, KENT, WA, 980306800
- Phone
- (253) 277-2620
Specialties & Taxonomies
Dentist
Primary License: WA #de00009467