Individual
DR. CHARLES CLAYTON PHILLIPS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12395 EL CAMINO REAL, STE 304, SAN DIEGO, CA 92130-3085
(858) 793-3393
(858) 793-3383
Mailing address
12395 EL CAMINO REAL STE 304, SAN DIEGO, CA 92130-3085
(858) 793-3393
(858) 793-3383
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30008
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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