Medical school: INDIANA UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 1994
Also: ORAL SURGERY
NPI: 1386901858
Practice Locations (1)
MINNESOTA HEAD AND NECK PAIN CLINIC PA
3475 PLYMOUTH BLVD, SUITE 200
PLYMOUTH, MN 554471539
7635772484
Source: CMS National Downloadable File, September 2026.