Medical school: CREIGHTON UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 1984
NPI: 1154313195
Practice Locations (1)
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU DENITSTRY
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 731171214
4052715714
Source: CMS National Downloadable File, September 2026.