Dental Board of California
Licensing details for: 79629
Name: SAGE M. HUMPHRIES, D.D.S., M.S., INC.
License Type: Additional Office Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: HUMPHRIES, SAGE MONROE
License/Registration Type: Dentist License
License Number: 53072 Primary Status: Current - Active
Address :
725 WEST LA VETA AVENUE
SUITE 120
ORANGE CA 92868
ORANGE COUNTY
