HARLEY ALBERT DEISEM

CHINO, CA
NPI1093820557
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  029698)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
Dr. HARLEY ALBERT DEISEM DDS
12875 MOUNTAIN AVE
CHINO, CA 91710-4556
Phone number: 909-591-0316
Mailing Address
Dr. HARLEY ALBERT DEISEM DDS
12875 MOUNTAIN AVE
CHINO, CA 91710-4556
Phone number: 909-591-0316
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