Organization
HEIDI BRANDT DMD MSD & STIG K OSTERBERG DDS MSD, PC
Active
Other names
Olympic Peninsula Implants & Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STIG KJELL OSTERBERG DDS MSD (PRESIDENT)
(360) 385-5121
Entity
Organization
Contact information
Practice address
624 E 8TH ST, PORT ANGELES, WA 98362-6224
(360) 452-7482
(360) 457-4903
Mailing address
1119 LAWRENCE ST, PORT TOWNSEND, WA 98368-6525
(360) 385-5121
(360) 379-9534
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE00005095
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE00005347
WA
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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