Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KREIDLER-MOSS PHARMD (CEO)
(360) 478-2366
Entity
Organization
Contact information
Practice address
31 NE STATE ROUTE 300, SUITE 200, BELFAIR, WA 98528-8611
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 475-6711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
10/05/2016
Last updated
01/31/2017
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