Medical school: TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated: 2025
NPI: 1104764273
Practice Locations (2)
125 BARNEY CT
Hermosa Beach, CA 902545348
1360 W 6TH ST, SUITE 210
SAN PEDRO, CA 907323590
Source: CMS National Downloadable File, September 2026.