Medical school: UNIV OF NEVADA, LAS VEGAS SCHOOL OF DENTAL MED
Graduated: 1983
NPI: 1528115169
Practice Locations (2)
5740 N PALM AVE, SUITE 105
Fresno, CA 937041800
5740 N PALM AVE
FRESNO, CA 937041800
5594311900
Source: CMS National Downloadable File, September 2026.