Individual
DR. JAMES WILFORD TETZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
709 HARRISON AVE, CENTRALIA, WA 98531-2109
(360) 736-5040
(360) 736-1979
Mailing address
PO BOX 1241, CENTRALIA, WA 98531-0730
(360) 736-7735
(360) 736-1979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7841
WA
Other
Enumeration date
09/28/2005
Last updated
07/08/2007
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