Individual
CAMILLE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
145 CRANBERRY ST., BETHEL, AK 99559-1085
(520) 403-2051
Mailing address
1720 E MOUNT LEMMON HWY, ORACLE, AZ 85623-6257
(520) 403-2051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
123592
AK
1223D0001X
Public Health Dentistry
123592
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123592
—
AK
Enumeration date
06/20/2017
Last updated
07/21/2022
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