Medical school: UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduated: 2024
NPI: 1558120519
Practice Locations (2)
2001 BLOOMINGTON AVE
MINNEAPOLIS, MN 554043089
515 DELAWARE ST SE, 7 220 MOOS TOWER
MINNEAPOLIS, MN 554550357
Source: CMS National Downloadable File, September 2026.