# SARAH PARK DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164389219
- **Authorized official:** DAKOTA LASSLEY (REGIONAL MANAGER)
- **Authorized official phone:** (253) 345-0343

## Contact information

- **Practice address:** 4410 194TH ST SW STE C, LYNNWOOD, WA 98036-5598
- **Practice address phone:** (425) 775-6614
- **Mailing address:** 4410 194TH ST SW STE C, LYNNWOOD, WA 98036-5598

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2026
- **Last updated:** 01/08/2026
