Peninsula Community Health Services
NPI #1104590504 in Gig Harbor, Washington
Provider Information
- NPI Number
- 1104590504
- Entity Type
- Organization
- Organization Name
- Peninsula Community Health Services
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 9, 2021
- Last Updated
- Sep 16, 2021
Practice Location
- Address
- 11901 137TH AVE NW UNIT A
- City
- Gig Harbor
- State
- Washington
- ZIP Code
- 98329-6617
- Phone
- (360) 377-3776
Authorized Official
- Name
- MARIBEL NEAONVER
- Title
- CREDENTIALING SPECIALIST
- Phone
- (360) 616-3138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
| Dentist - General Practice — General Practice |
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