Sage M. Humphries, Dds., Ms., Inc.

NPI #1477067106 in Pico Rivera, California

Provider Information

NPI Number: 1477067106
Entity Type: Organization
Organization Name: Sage M. Humphries, Dds., Ms., Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 16, 2017
Last Updated: Apr 4, 2018

Practice Location

Address: 6505 ROSEMEAD BLVD STE 201
City: Pico Rivera
State: California
ZIP Code: 90660-3543
Phone: (562) 942-1062

Authorized Official

Name: SAGE MONROE HUMPHRIES, DDS, MS
Title: OWNER
Phone: (714) 997-5961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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