Medical school: NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Graduated: 2009
NPI: 1821318577
Practice Locations (3)
3300 TULLY RD, SUITE A6
MODESTO, CA 953500867
300 WILMAR AVE
Pismo Beach, CA 934492232
805 AEROVISTA PL, SUITE 106
SAN LUIS OBISPO, CA 934017919
Source: CMS National Downloadable File, September 2026.