Peninsula Community Health Services

NPI #1528547940 in Poulsbo, Washington

Provider Information

NPI Number: 1528547940
Entity Type: Organization
Organization Name: Peninsula Community Health Services
Primary Specialty: Dentist
Enumeration Date: Aug 7, 2018
Last Updated: Aug 7, 2018

Practice Location

Address: 19705 VIKING AVENUE NW
Address 2: SUITE 201 BLDG A
City: Poulsbo
State: Washington
ZIP Code: 98370-8351
Phone: (360) 377-3776

Authorized Official

Name: JENNIFER LYNN KREIDLER-MOSS
Title: CHIEF EXECUTIVE OFFICER
Phone: (360) 377-3776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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