NPI 1063755783

Tomasz Adam Wietecha, LDMD

Practitioner Denturist Port Orchard, WA

Practice location

Address: 3965 Bethel Rd SE STE 2c, Port Orchard, WA 98366-1976
Phone: (360) 876-0508

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN60186659 (WA)

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Registry record

NPI: 1063755783
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2013
Record last updated: 20 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.