Medical school: MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, DOWNERS GROVE
Graduated: 2004
NPI: 1295949626
Practice Locations (2)
3818 E CIELO GRANDE AVE
PHOENIX, AZ 850507333
7465 E OSBORN RD
SCOTTSDALE, AZ 852516590
Source: CMS National Downloadable File, September 2026.