Medical school: LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 2006
Offers telehealth
NPI: 1063675346
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
11603 STATE AVE, SUITE G
MARYSVILLE, WA 982718465
3606586800
Source: CMS National Downloadable File, September 2026.