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General NPI Number Information
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NPI Number | 1164389219
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Entity Type | Organization
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Legal Business Name | SARAH PARK DDS PLLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 4410 194TH ST SW STE C
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City | LYNNWOOD
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State | WA
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Zip | 98036-5598
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Country | US
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Telephone | 425-775-6614
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Fax |
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Provider Business Mailing Address
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Address Line | 4410 194TH ST SW STE C
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City | LYNNWOOD
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State | WA
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Zip | 98036-5598
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGIONAL MANAGER
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Name | DAKOTA LASSLEY
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Credential |
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Telephone | 253-345-0343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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