# MICHAEL A SACRO DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ferndale Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629498407
- **Authorized official:** MICHAEL A SACRO DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (360) 384-3440

## Contact information

- **Practice address:** 6004 PORTAL WAY UNIT A, FERNDALE, WA 98248-8382
- **Practice address phone:** (360) 384-3440
- **Practice address fax:** (360) 384-6028
- **Mailing address:** 6004 PORTAL WAY UNIT A, FERNDALE, WA 98248-8382
- **Mailing address phone:** (360) 384-3440
- **Mailing address fax:** (360) 384-6028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60453211 | WA | Yes |

## Other

- **Enumeration date:** 04/21/2014
- **Last updated:** 04/21/2014