# DR GARRICK J LO DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Redmond Parc Square Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023262623
- **Authorized official:** DR. GARRICK J LO DDS (OWNER)
- **Authorized official phone:** (206) 851-8421

## Contact information

- **Practice address:** 8435 161ST AVE NE, SUITE 102, REDMOND, WA 98052-1512
- **Practice address phone:** (425) 885-1151
- **Practice address fax:** (425) 883-0386
- **Mailing address:** 8435 161ST AVE NE, SUITE 102, REDMOND, WA 98052-1512
- **Mailing address phone:** (425) 885-1151
- **Mailing address fax:** (425) 883-0386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 11/10/2008
- **Last updated:** 09/27/2023