| Olympic Peninsula Implants & Periodontics | |
|
624 E 8th St Port Angeles WA 98362-6224 | |
| (360) 452-7482 | |
| (360) 457-4903 |
| Full Name | Olympic Peninsula Implants & Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 624 E 8th St, Port Angeles, Washington |
| Authorized Official Name and Position | Stig Kjell Osterberg (PRESIDENT) |
| Authorized Official Contact | 3603855121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympic Peninsula Implants & Periodontics 1119 Lawrence St Port Townsend WA 98368-6525 Ph: (360) 385-5121 | Olympic Peninsula Implants & Periodontics 624 E 8th St Port Angeles WA 98362-6224 Ph: (360) 452-7482 |
| NPI Number | 1932404175 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 01/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932404175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DE00005095 (Washington) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00005347 (Washington) | Secondary |
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Leonard M Chance Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W 3rd St, Port Angeles, WA 98362 Phone: 360-452-9744 Fax: 360-452-5861 | |
Eleven Eleven Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Columbia St, Port Angeles, WA 98362 Phone: 360-457-3183 | |
K Ben Skerback Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 So Laurel, Port Angeles, WA 98362 Phone: 360-452-3808 Fax: 360-452-6887 | |
Scott M Van Dyken Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 E 8th St, Port Angeles, WA 98362 Phone: 360-457-3127 | |
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