Organization
SAGE M. HUMPHRIES, DDS., MS., INC.
Active
Parent organization
HUMPHRIES ORTHODONTICS
Other names
Humphries Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUMPHRIES ORTHODONTICS
Authorized official
DR. SAGE M HUMPHRIES DDS., MS (OWNER/PRESIDENT)
(714) 997-5961
Entity
Organization
Contact information
Practice address
18000 PIONEER BLVD, STE 207, ARTESIA, CA 90701-3976
(562) 860-1333
(562) 860-2833
Mailing address
725 W LA VETA AVE, STE 120, ORANGE, CA 92868-4403
(714) 997-5961
(714) 997-9032
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
53072
CA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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