DR. HARLEY DEISEM JR., DDS
Dentist - General Practice
Active
Individual
NPI: 1093820557
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 029698 (CA) |
Frequently Asked Questions
NPI 1093820557 is the National Provider Identifier for DR. HARLEY DEISEM JR., DDS, a Dentist - General Practice provider located in Chino, CA. This NPI was enumerated on August 21, 2006.
DR. HARLEY DEISEM JR., DDS practices at 12875 MOUNTAIN AVE, Chino, CA 91710.
Quick Facts
- NPI
- 1093820557
- Type
- Individual
- Enumerated
- Aug 21, 2006
- Last Updated
- Jul 8, 2007
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