Medical school: LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 2007
NPI: 1588823819
Practice Locations (3)
331 C ST
Martinez, CA 945533137
PO BOX, SUITE 22210
OAKLAND, CA 94623
PO BOX, SUITE 22210
OAKLAND, CA 946232210
Source: CMS National Downloadable File, September 2026.