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Organization
TORREY PINES ORAL & MAXILLOFACIAL SURGERY
Active
Organization
TORREY PINES ORAL & MAXILLOFACIAL SURGERY
Active
Other names
Roger S Kingston DDS Charles C Phillips III DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER STEPHEN KINGSTON DDS (SENIOR PARTNER)
(858) 793-3393
Entity
Organization
Contact information
Practice address
12395 EL CAMINO REAL, SUITE 304, SAN DIEGO, CA 92130-3085
(858) 793-3393
(858) 793-3383
Mailing address
12395 EL CAMINO REAL, SUITE 304, SAN DIEGO, CA 92130-3085
(858) 793-3393
(858) 793-3383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
07/21/2006
Last updated
01/11/2008
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