Healthcare Provider Details

I. General information

NPI: 1932043007
Provider Name (Legal Business Name): SARAH KYUNGEN LEE RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH LEE JANG RDH

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16330 SE 256TH ST
COVINGTON WA
98042-4233
US

IV. Provider business mailing address

32602 10TH PL SW
FEDERAL WAY WA
98023-4900
US

V. Phone/Fax

Practice location:
  • Phone: 253-246-7403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: