Medical school: NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Graduated: 1997
NPI: 1790838902
Practice Locations (3)
18605 STARLIGHT CT
DELTA, CO 814163002
4321 2100 RD
DELTA, CO 814168263
PO BOX, SUITE 1328
DURANGO, CO 81302
Source: CMS National Downloadable File, September 2026.