Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2007
Also: MAXILLOFACIAL SURGERY
NPI: 1508048521
Practice Locations (1)
FACE AND JAW SURGEONS PC
4344 20TH AVE S, SUITE 2
FARGO, ND 581037436
7012395969
Source: CMS National Downloadable File, September 2026.