Harley Albert Deisem in Chino - General Practice
Harley Albert Deisem - NPI 1093820557
Harley Albert Deisem is a General Practice in Chino, California. Harley Albert Deisem practices all healthcare services and medical treatments related to General Practice. The NPI Number for Harley Albert Deisem is 1093820557. The last update date is 2007-07-08.
Harley Albert Deisem's current location address is 12875 Mountain Ave, Chino, California. You can contact this provider via phone number 9095910316 and fax number 9096284823. The mailing address for Harley Albert Deisem is 12875 Mountain Ave, Chino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Harley Albert Deisem |
|---|---|
| Address | 12875 Mountain Ave, Chino, California |
| Phone Number | 9095910316 |
| Fax Number | 9096284823 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1093820557 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12875 Mountain Ave |
|---|---|
| City | Chino |
| State | California (CA) |
| Post Code | 917104556 |
| Phone Number | 9095910316 |
| Fax Number | 9096284823 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 29698 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Harley Albert Deisem?
The Harley Albert Deisem has been issued the NPI (National Provider Identifier) 1093820557 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Harley Albert Deisem is located?
The Harley Albert Deisem is situated at the following address: 12875 Mountain Ave, Chino, CA, 917104556.
What is Harley Albert Deisem's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Harley Albert Deisem is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When did Harley Albert Deisem receive its 1093820557 assignment?
The Harley Albert Deisem was assigned its 1093820557 on 2006-08-21, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Harley Albert Deisem most recently updated or revised?
The details related to Harley Albert Deisem, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.