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1316999600
ROGER STEPHEN KINGSTON
DAVIS, CA
NPI
1316999600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 22237)
Enumeration Date
2006-05-16
Last Update Date
2012-01-13
Business Address
Dr. ROGER STEPHEN KINGSTON DDS
2301 ROUALT ST
DAVIS, CA 95618-7653
Phone number: 858-761-6513
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Mailing Address
Dr. ROGER STEPHEN KINGSTON DDS
2301 ROUALT ST
DAVIS, CA 95618-7653
Phone number: 858-761-6513
Copy
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