Individual
DR. ROGER L HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
685 CITADEL DR E, SUITE 302, COLORADO SPRINGS, CO 80909-5314
(719) 596-1011
(719) 596-6748
Mailing address
685 CITADEL DR E, SUITE 302, COLORADO SPRINGS, CO 80909-5314
(719) 596-1011
(719) 596-6748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104471
CO
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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