Medical school: INDIANA UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 1999
NPI: 1356325989
Practice Locations (2)
12715 BEL-RED RD, SUITE 130
BELLEVUE, WA 98005
12715 NE BEL RED RD, SUITE 130
BELLEVUE, WA 980052627
4254545091
Source: CMS National Downloadable File, September 2026.