Organization
SAGE M. HUMPHRIES, DDS., MS., INC.
Active
Other names
H2 Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SAGE MONROE HUMPHRIES (OWNER/PRESIDENT)
(714) 997-5961
Entity
Organization
Contact information
Practice address
805 W LA VETA AVE STE 200, ORANGE, CA 92868-3929
(714) 532-9700
(714) 532-9766
Mailing address
805 W LA VETA AVE STE 200, ORANGE, CA 92868-3929
(714) 532-9700
(714) 532-9766
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
53072
CA
Other
Enumeration date
04/24/2017
Last updated
04/04/2018
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