Individual
DR. MICHAEL A SACRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6004 PORTAL WAY UNIT A, FERNDALE, WA 98248-8382
(360) 384-3440
Mailing address
6004 PORTAL WAY UNIT A, FERNDALE, WA 98248-8382
(360) 384-3440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60699
CA
122300000X
Dentist
Primary
DE60453211
WA
Other
Enumeration date
09/01/2011
Last updated
04/03/2014
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