NPI | 1710023213 |
---|---|
Former Legal Business Name | P.THOMAS HISER DDS, MS, INC. - ANTHONY P. VARBONCOEUR DDS, INC. |
Entity Type | Organization |
Authorized Contact | CORTLAND S. CALDEMEYER Partner 619-463-4486 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: 47693) |
Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
122300000X Dentist (Licence: 37512) | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2011-04-19 |