| NPI | 1366502916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL THOMAS HISER President 619-463-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 21803) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |