Medical school: UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduated: 2013
NPI: 1184062002
Practice Locations (1)
ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA
7770 DELL RD, SUITE 100
CHANHASSEN, MN 553179316
9529750605
Source: CMS National Downloadable File, September 2026.