| NPI | 1699796276 |
|---|---|
| Former Legal Business Name | ROGER S KINGSTON DDS CHARLES C PHILLIPS III DMD |
| Entity Type | Organization |
| Authorized Contact | ROGER STEPHEN KINGSTON Senior Partner 858-793-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-01-11 |