| P Thomas Hiser DDS MS Inc | |
|
5565 Grossmont Center Dr Suite 129 La Mesa CA 91942-3020 | |
| (619) 463-4486 | |
| (619) 463-6553 |
| Full Name | P Thomas Hiser DDS MS Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5565 Grossmont Center Dr, La Mesa, California |
| Authorized Official Name and Position | Paul Thomas Hiser (PRESIDENT) |
| Authorized Official Contact | 6194634486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P Thomas Hiser DDS MS Inc 5565 Grossmont Center Dr Suite 129 La Mesa CA 91942-3020 Ph: (619) 463-4486 | P Thomas Hiser DDS MS Inc 5565 Grossmont Center Dr Suite 129 La Mesa CA 91942-3020 Ph: (619) 463-4486 |
| NPI Number | 1366502916 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366502916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 21803 (California) | Primary |
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