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Individual
DR. SAGE MONROE HUMPHRIES
Active
Individual
DR. SAGE MONROE HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
53072
CA
305R00000X
Preferred Provider Organization
Primary
53072
CA
Other
Enumeration date
04/18/2007
Last updated
11/15/2011
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