Individual
JOSEPH DOUGLAS PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10737 CAMINO RUIZ STE 210, SAN DIEGO, CA 92126-2363
(858) 578-1822
Mailing address
10737 CAMINO RUIZ STE 210, SAN DIEGO, CA 92126-2363
(858) 578-1822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
101727
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
101727
CA
Other
Enumeration date
08/02/2017
Last updated
09/23/2022
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