Hiser P T DDS practices oral and maxillofacial surgery from Grossmont Center Drive in La Mesa, within the medical-office complex adjacent to Grossmont Center. The oral surgery scope generates referrals from general-dentistry practices across the Grossmont corridor including A Shop For Smiles, which routes extraction, bone-grafting, and impacted-wisdom-tooth cases that exceed standard general-practice capability. The DDS and MS credentials indicate completion of both a doctoral dental program and an advanced oral-surgery residency with a master's-level research component. Post-operative jaw rehabilitation following surgical extraction or orthognathic procedures coordinates with musculoskeletal recovery programs at PRN Physical Therapy - La Mesa for patients requiring mandibular range-of-motion restoration. Complex impaction cases involve mucoperiosteal flap elevation with piezoelectric bone cutting to section and extract horizontally impacted third molars while minimizing trauma to the inferior alveolar nerve canal.