Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 2000
Also: GENERAL PRACTICE
NPI: 1609887389
Practice Locations (2)
8618 N, 35TH SUITE 1
PHOENIX, AZ 850513800
8618 N 35TH AVE, SUITE 1
PHOENIX, AZ 850513800
6029732712
Source: CMS National Downloadable File, September 2026.