# TAMARA SARDAR DDS PLLC

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

## Provider details

- **NPI number:** 1417784315
- **Authorized official:** TAMARA SARDAR AL KARADAGHI DDS (OWNER/PROVIDER)
- **Authorized official phone:** (360) 389-4784

## Contact information

- **Practice address:** 120 AVE A, \#A, SNOHOMISH, WA 98290-2961
- **Practice address phone:** (360) 863-2517
- **Mailing address:** 120 AVE A, \#A, SNOHOMISH, WA 98290-2961
- **Mailing address phone:** (360) 863-2517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | Yes |
| 1223X2210X | Orofacial Pain Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2024
- **Last updated:** 12/26/2024