Meet The Team

Meet our team at Sound Surgical Arts!

Drs. La Rosa and Staff


Isabel, Oral Surgery Staff in Tacoma, Gig Harbor, Vashon Island WA

Isabel – Patient Care Coordinator

Isabel originally began working for Sound Implant and Periodontics as a part-time employee during her high school years. She enjoyed her time with the practice so much, she took on the full-time position as the scheduling coordinator for Dr. Silvia La Rosa in 2017. Isabel currently resides in Lakewood with her significant other, Dustin. In her spare time, Isabel enjoys reading, traveling, socializing, going to concerts, and collecting anything Marvel-related.


Marika, Oral Surgery Staff in Tacoma, Gig Harbor, Vashon Island WA

Marika – Treatment Plan Coordinator

Marika is the Treatment Coordinator for our Periodontal team! Marika joined our team in 2009 and our office hasn’t been the same! Marika always has a smile on her face and a positive attitude. Marika works closely with our Doctors to ensure your treatment needs are met.

Marika was born and raised in the Pacific Northwest. Marika has 4 grown children. Outside the office, she enjoys traveling, cooking, and all the outdoor activities our beautiful region offers.


Denise, Oral Surgery Staff in Tacoma, Gig Harbor, Vashon Island WA. Yes — they are twins!

Denise – Surgical Assistant

Denise has been a certified Oral & Maxillofacial Surgery surgical assistant since 1994 and has been working alongside Dr. Manuel La Rosa since 1999. Denise admires both Dr. Manuel and Dr. Silvia’s leadership, expertise, high-quality patient care, willingness to keep up with today’s technology, and their compassion they bring to Oral Surgery/Periodontics. Denise loves that she gets to worked alongside her identical twin sister, Deanna. She strives daily at putting a nervous patient’s mind at ease and making sure their experience is always pleasant. Denise was born in San Diego, California, and moved to the Pacific Northwest at the age of 14. She is happiest when spending time with her family and friends, traveling, enjoys crafting, and exploring the beautiful Northwest.


Rylee, Oral Surgery Staff in Tacoma, Gig Harbor, Vashon Island WA

Rylee – Surgical Assistant

Rylee is the schedule coordinator for our periodontal team. She joined our office in 2016 and has grown not only as an employee but as an individual. She is able to help schedule all appointments and answer questions a patient may have in regards to their care. She takes pride in the work she does. Rylee will go over and beyond to help our patients in the most efficient way possible. Rylee finds her happy place in spending the time taking care of those around her. She spends most of her time outside of the office with her family enjoying the beauty our state has to offer.


Tatiana, Oral Surgery Staff in Tacoma, Gig Harbor, Vashon Island WA

Tatiana – Surgical Assistant

Tatiana has been working in Oral and Maxillofacial Surgery since 2008. She started working at Sound Surgical Arts in 2014. She takes pride in her patient care and truly enjoys her profession. In her spare time, Tatiana is fond of performing arts, music and is an outdoor enthusiast.


Gillen, Oral Surgery Staff in Tacoma, Gig Harbor, Vashon Island WA

Gillen – Surgical Assistant

Greetings! My name is Gillen. I grew up on the tiny island of Maui, Hawaii. My husband and I moved to the Pacific Northwest due to military orders in September of 2017. We both fell in love with the beauty of Washington and have decided to settle down here. I joined Sound Surgical Arts in mid-August. I am excited to be a part of the team!


Lauryn, Oral Surgery Staff in Tacoma, Gig Harbor, Vashon Island WA

Lauryn – Surgical Assistant

Lauryn is a certified Oral and Maxillofacial Surgery assistant who recently entered the dental field. “After interning at this office I knew it was where I wanted to be. Dr. La Rosa is very talented and compassionate in his work and I love the quality of care our team provides. I truly love what I do here and look forward to coming to work everyday! I strive to learn and expand my education in oral surgery. Outside of work, I take pleasure in outdoor activities such as hiking, skiing, playing tennis, and exploring the beautiful Pacific Northwest. I also, enjoy supporting local sports teams including our Seattle Seahawks!”


Deanna, Oral Surgery Staff in Tacoma, Gig Harbor, Vashon Island WA. Yes — they are twins!

Deanna – Surgical Assistant

Deanna has worked with Dr. Manuel La Rosa since 1999 and enjoys the family-like relationship she has with her boss and co-workers. Her favorite part of the job is building a long-term relationship with her patients. Deanna feels she is blessed to be working in an office that delivers high-quality patient care and is privileged to be doing a job she truly enjoys. Deanna has been working for 18 years as a Certified Oral & Maxillofacial surgical assistant. She lives in Bonney Lake with her husband, Kim, and their precious daughter Kaylee. In Deanna’s free time she loves supporting her local Seattle Thunderbirds hockey team, hiking and camping with her family in the great outdoors.


Carey, Oral Surgery Staff in Tacoma, Gig Harbor, Vashon Island WA

Carey – Registered Dental Hygienist

Carey is a registered dental hygienist and has been practicing dental hygiene for over 25 years. She joined our team in 2020 and is a great complement to our hygiene department. Carey takes pride in patient care by providing thorough, gentle, individualized care while getting to know people on a personal level. Carey grew up in the Northwest and has lived in Gig Harbor for nearly 30 years. She is married and has two beautiful daughters. When not in the office, she enjoys family time, being out in nature, and traveling whenever possible.


Esther, Oral Surgery Staff in Tacoma, Gig Harbor, Vashon Island WA

Esther – Registered Dental Hygienist

Esther is a valuable asset to our practice as she has over 30 years of experience in dentistry; 20 of those in Dental Hygiene. Her skills include proficiency in Orthodontics, Pedodontics, and Periodontics. “Dental Hygiene is a broad profession, where providers are utilized in numerous settings. Being a member of Dr. La Rosa’s team is both a privilege and a pleasure. It is my hope to educate, motivate, and improve my patients’ oral and systemic health”. With her eye on continuing her education, she strives for excellence in all areas of her life. She has a bachelor’s degree in Dental Hygiene. Esther serves her profession in the greater community, and her love of the Pacific Northwest entices her to explore all that life has to offer.


Nohora, Staff in Tacoma, Gig Harbor, Vashon Island WA

Nohora – Project Manager

Nohora joined our team at Sound Surgical Arts in 2017. As a project manager, she is in charge of planning and executing all projects delegated by the doctors and both the periodontal and oral surgery teams, with whom she collaborates closely. Nohora B. loves to spend her free time with her family. She is a big fan of her nephews and nieces and their sports activities; likewise, she enjoys dance and music shows.


Carolyn, Oral Surgery Staff in Tacoma, Gig Harbor, Vashon Island WA

Carolyn – Bookkeeper

Carolyn is a graduate of Central Washington University, and also attended the University of Washington. She has been a bookkeeper in the dental field since 1994. She has been a part of Sound Oral & Maxillofacial Surgery and Sound Implant & Periodontics since 2007. She has experience with several different dental and accounting software systems. She grew up in Sumner and currently resides in Bonney Lake with her 19-year-old daughter and 14-year-old son. When she is not working she is either at soccer, baseball, basketball game, or golf match. She enjoys sports, outdoor activities, cooking, and traveling but most important is spending time with family.