Medical school: UNIVERSITY OF IOWA COLLEGE OF DENTISTRY
Graduated: 1987
Also: ORAL SURGERY
NPI: 1174508022
Practice Locations (1)
STATE UNIVERSITY OF IOWA
322 DENTAL SCIENCE S BLDG S, COLLEGE OF DENTISTRY
IOWA CITY, IA 522421034
3193357440
Source: CMS National Downloadable File, September 2026.