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Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN KREIDLER-MOSS (CHIEF EXECUTIVE OFFICER)
(360) 377-3776
Entity
Organization
Contact information
Practice address
19705 VIKING AVENUE NW, SUITE 201 BLDG A, POULSBO, WA 98370-8351
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 377-3776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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