Medical school: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated: 2010
NPI: 1093743858
Practice Locations (2)
710 N HIGH ST
Longview, TX 756015330
710 N HIGH ST
LONGVIEW, TX 756015330
9032348151
Source: CMS National Downloadable File, September 2026.