Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 2001
Offers telehealth
NPI: 1598791352
Practice Locations (2)
1675 BURDETTE DR, SUITE 20
San Jose, CA 951211667
1675 BURDETTE DR, SUITE 20
SAN JOSE, CA 951211667
4082746944
Source: CMS National Downloadable File, September 2026.