Organization
P THOMAS HISER DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL THOMAS HISER DDS (PRESIDENT)
(619) 463-4486
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, SUITE 129, LA MESA, CA 91942-3020
(619) 463-4486
(619) 463-6553
Mailing address
5565 GROSSMONT CENTER DR, SUITE 129, LA MESA, CA 91942-3020
(619) 463-4486
(619) 463-6553
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21803
CA
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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