Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 2008
Offers telehealth
NPI: 1083855407
Practice Locations (1)
31897 DEL OBISPO ST, SUITE 115
SAN JUAN CAPISTRANO, CA 926753207
9494293200
Source: CMS National Downloadable File, September 2026.