Medical school: MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduated: 2020
Also: ORAL SURGERY
NPI: 1669097804
Practice Locations (2)
4835 W PIUTE AVE
GLENDALE, AZ 853089233
425 N AVE, SUITE A
GRAND JUNCTION, CO 815017576
Source: CMS National Downloadable File, September 2026.