Organization
EUGENE HUMPHRIES, D.D.S., M.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA FUNDERBURK (OFFER MGR)
(714) 716-6244
Entity
Organization
Contact information
Practice address
18000 PIONEER BLVD STE 207, ARTESIA, CA 90701-4416
(562) 860-1333
(562) 860-2832
Mailing address
18000 PIONEER BLVD STE 207, ARTESIA, CA 90701-4416
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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