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Dr. Tomasz Adam Wietecha, LD,MD
Denturist in Port Orchard, Washington
NPI 1063755783

Tomasz Adam Wietecha is a Denturist based in Port Orchard, WA. Tomasz Adam Wietecha practices in Port Orchard, WA and has the professional credentials of LD,MD. The NPI Number for Tomasz Adam Wietecha is 1063755783 and holds a License No. DN60186659 (Washington).

The current practice location address for Tomasz Adam Wietecha is 3965 Bethel Rd Se, Port Orchard, WA and can be reached out via phone at 360-876-0508.

Location: 3965 Bethel Rd Se, Port Orchard, WA, 98366-1976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063755783
Provider Name
Tomasz Adam Wietecha
Credential
LD,MD
Provider Entity Type
Individual
Gender
Male
Address
3965 Bethel Rd Se, Port Orchard, WA, 98366-1976
Phone Number
360-876-0508
Fax Number
Provider Enumeration Date
04/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3965 Bethel Rd Se
City
Port Orchard
State
Washington
Zip
98366-1976
Phone Number
360-876-0508
Fax Number
person
Provider Business Mailing Address Details
Address
3965 Bethel Rd Se
City
Port Orchard
State
Washington
Zip
98366-1976
Phone Number
360-876-0508
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DN60186659 (Washington)
Definition
Definition to come.
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