Medical school: UNIVERSITY OF IOWA COLLEGE OF DENTISTRY
Graduated: 2012
NPI: 1033477492
Practice Locations (1)
CENTRASOTA ORAL AND MAXILLOFACIAL SURGEONS PA
3950 VETERANS DR, SUITE 100
SAINT CLOUD, MN 563033424
3202523611
Source: CMS National Downloadable File, September 2026.