| NPI | 1629498407 |
|---|---|
| Doing Business As | FERNDALE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A SACRO President/Dentist 360-384-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 60453211) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |