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Individual

DR. TOMASZ ADAM WIETECHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.D., M.D.

Contact information

Practice address
3965 BETHEL RD SE, STE 2C, PORT ORCHARD, WA 98366-1976
(360) 876-0508
Mailing address
3965 BETHEL RD SE, STE 2C, PORT ORCHARD, WA 98366-1976
(360) 876-0508

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60186659
WA

Other

Enumeration date
04/01/2013
Last updated
03/20/2017
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