Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KREIDLER. MOSS (CEO)
(360) 478-2366
Entity
Organization
Contact information
Practice address
616 6TH ST, BREMERTON, WA 98337-1420
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60565466
WA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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