Medical school: OREGON HEALTH & SCIENCES UNIV SCHOOL OF DENTISTRY
Graduated: 2011
NPI: 1043592314
Practice Locations (1)
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
6201 HARRY HINES BLVD
DALLAS, TX 753909032
2146335555
Source: CMS National Downloadable File, September 2026.