Medical school: UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
Graduated: 1996
NPI: 1609957257
Practice Locations (3)
PO BOX, SUITE 769
REDWAY, CA 95560
1300 NATIONAL DR, SUITE 135
SACRAMENTO, CA 958341947
110 SHEEP SPRINGS, PO BOX 279
JEMEZ PUEBLO, NM 87024
Source: CMS National Downloadable File, September 2026.