Medical school: BAYLOR COLLEGE OF DENTISTRY/TEXAS A&M UNIVERSITY
Graduated: 2005
NPI: 1720110281
Practice Locations (2)
9859 GRADUATE DRIVEWAY, UNIT 404
SAN DIEGO, CA 921312510
3522 W LISBON AVE
MILWAUKEE, WI 532081953
Source: CMS National Downloadable File, September 2026.