Medical school: CASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated: 1996
NPI: 1255474359
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
5320 S RAINBOW BLVD, SUITE 182
LAS VEGAS, NV 891181896
7023045827
Source: CMS National Downloadable File, September 2026.