Medical school: BAYLOR COLLEGE OF DENTISTRY/TEXAS A&M UNIVERSITY
Graduated: 1983
NPI: 1023160363
Practice Locations (3)
43460 RIDGE PARK DR
TEMECULA, CA 925903600
3 HATLEY RD
BELFAST, ME 049156878
636 120TH AVE NE, SUITE A204
BELLEVUE, WA 980053087
4256981732
Source: CMS National Downloadable File, September 2026.