DR. Tomasz Adam Wietecha, L.D., M.D.

NPI #1063755783 in Port Orchard, Washington

Provider Information

NPI Number: 1063755783
Entity Type: Individual
Name: DR. Tomasz Adam Wietecha, L.D., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Denturist
Credential: L.D., M.D.
Enumeration Date: Apr 1, 2013
Last Updated: Mar 20, 2017

Practice Location

Address: 3965 BETHEL RD SE
Address 2: STE 2C
City: Port Orchard
State: Washington
ZIP Code: 98366-1976
Phone: (360) 876-0508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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