Jayanthi Bantwal, DDS
NPI #1699890335 in Kent, Washington
Provider Information
- NPI Number
- 1699890335
- Entity Type
- Individual
- Name
- Jayanthi Bantwal, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Dec 22, 2014
Practice Location
- Address
- 24837 104TH AVE SE STE 103
- City
- Kent
- State
- Washington
- ZIP Code
- 98030-6800
- Phone
- (253) 277-2620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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