Organization
HEIDI BRANDT, DMD,MSD,&STIG OSTERBERG, DDS, MSD
Active
Other names
Olympic Peninsula Implants & Peridontics
Organization subpart
No
Provider details
NPI number
Authorized official
STIG K OSTERBERG DDS, MSD (OWNER)
(360) 385-5121
Entity
Organization
Contact information
Practice address
1119 LAWRENCE ST, PORT TOWNSEND, WA 98368-6525
(360) 385-5121
Mailing address
1119 LAWRENCE ST, PORT TOWNSEND, WA 98368-6525
(360) 385-5121
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5095
WA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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