Medical school: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated: 2007
NPI: 1285845073
Practice Locations (2)
208 E PINE KNOLL DR
FLAGSTAFF, AZ 860110001
9285238110
824 S SAN FRANCISCO ST
FLAGSTAFF, AZ 860110001
9285232131
Source: CMS National Downloadable File, September 2026.