Medical school: CREIGHTON UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 2003
Also: ORAL MEDICINE, ORAL SURGERY
NPI: 1649387861
Practice Locations (2)
3808 N MOUNTAIN VIEW DR
Boise, ID 837043548
3808 N MOUNTAIN VIEW DR
BOISE, ID 837043548
2088677682
Source: CMS National Downloadable File, September 2026.