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Licensing details for: 53072

Name: HUMPHRIES, SAGE MONROE

License Type: Dentist

Primary Status: Current - Active

Address of Record

725 WEST LA VETA AVENUE
SUITE 120
ORANGE CA 92868
ORANGE county
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Issuance Date

August 6, 2004

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
11:3:31 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: SAGE M. HUMPHRIES, D.D.S., M.S., INC.

License/Registration Type: Additional Office Permit

License Number: 79629 Primary Status: Expired

Address :
6505 ROSEMEADE BLVD #203
PICO RIVERA CA 90660
LOS ANGELES COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: SAGE M HUMPHRIES, DDS, MS, INC.

License/Registration Type: Additional Office Permit

License Number: 10319 Primary Status: Current - Active

Address :
18000 PIONEER BOULEVARD
STE. 207
ARTESIA CA 90701
LOS ANGELES COUNTY

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