Individual
DR. PAUL THOMAS HISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
07/08/2007
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