Individual
DR. HAROLD BRIAN REISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3115 KENSINGTON AVE, PHILADELPHIA, PA 19134-2420
(215) 454-6640
(215) 454-6641
Mailing address
3115 KENSINGTON AVE, PHILADELPHIA, PA 19134-2420
(215) 454-6640
(215) 454-6641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-026567-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101400987
—
PA
Enumeration date
04/18/2006
Last updated
07/05/2016
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