Wietecha, Tomasz Adam

Wietecha, Tomasz Adam is an individual health care provider with primary practice located at 3965 Bethel Rd Se Ste 2C, Port Orchard WA 98366-1976. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Wietecha, Tomasz Adam can be contacted via phone (360) 876-0508.

Contact Information

Primary practice address
3965 Bethel Rd Se Ste 2C Port Orchard WA 98366-1976
Phone: (360) 876-0508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN60186659 Washington

Profile Details

NPI number 1063755783
LBN Legal business name Wietecha, Tomasz Adam
Credentials L.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Mar 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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