Individual
DR. JAY WIETECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
98 SILVER ST, WATERVILLE, ME 04901-5935
(207) 873-2073
(207) 873-0697
Mailing address
98 SILVER ST, WATERVILLE, ME 04901-5935
(207) 873-2073
(207) 873-0697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3627
ME
Other
Enumeration date
02/28/2007
Last updated
03/07/2023
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