Medical school: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated: 2018
NPI: 1710535349
Practice Locations (2)
120 STONY POINT RD, SUITE 200
SANTA ROSA, CA 954014132
5481 WILSHIRE DR
SANTA ROSA, CA 954041055
Source: CMS National Downloadable File, September 2026.