Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY
Graduated: 1986
Also: MAXILLOFACIAL SURGERY
NPI: 1649353715
Practice Locations (1)
UT OMS SPECIALTY DENTAL SERVICES PLLC
1022 E 220
AMERICAN FORK, UT 840035504
8017560766
Source: CMS National Downloadable File, September 2026.