Medical school: UNIV OF CALIF, LOS ANGELES SCHOOL OF DENTISTRY
Graduated: 2011
Also: ORAL SURGERY
NPI: 1194024190
Practice Locations (1)
TEXAS AANDM UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
3000 GASTON AVE
DALLAS, TX 752261309
2148288100
Source: CMS National Downloadable File, September 2026.