Torrey Pines Oral & Maxillofacial Surgery | |
12395 El Camino Real Suite 304 San Diego CA 92130-3085 | |
(858) 793-3393 | |
(858) 793-3383 |
Full Name | Torrey Pines Oral & Maxillofacial Surgery |
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Speciality | Dentist |
Location | 12395 El Camino Real, San Diego, California |
Authorized Official Name and Position | Roger Stephen Kingston (SENIOR PARTNER) |
Authorized Official Contact | 8587933393 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Torrey Pines Oral & Maxillofacial Surgery 12395 El Camino Real Suite 304 San Diego CA 92130-3085 Ph: (858) 793-3393 | Torrey Pines Oral & Maxillofacial Surgery 12395 El Camino Real Suite 304 San Diego CA 92130-3085 Ph: (858) 793-3393 |
NPI Number | 1699796276 |
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Provider Enumeration Date | 07/21/2006 |
Last Update Date | 01/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699796276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
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