Individual
CHRISTINA BETH HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2711 4TH ST, BAY CITY, TX 77414-6309
(979) 245-6541
Mailing address
PO BOX 92, BAY CITY, TX 77404-0092
(512) 730-9605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
35224
TX
1223G0001X
General Practice Dentistry
Primary
35224
TX
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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