Medical school: CASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated: 2020
NPI: 1578191052
Practice Locations (1)
NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.
STATE HWY 264 JCT HWY 191
GANADO, AZ 865050457
92875545004933
Source: CMS National Downloadable File, September 2026.