Medical school: TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated: 2021
Offers telehealth
NPI: 1023691151
Practice Locations (1)
TETON COUNTY HOSPITAL DISTRICT
555 E BROADWAY AVE, SUITE 108
JACKSON, WY 830018640
3077341005
Source: CMS National Downloadable File, September 2026.