Medical school: UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduated: 1999
NPI: 1851454334
Practice Locations (1)
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY PLLC
2130 CLIFF RD, SUITE 100
EAGAN, MN 551222486
6514526933
Source: CMS National Downloadable File, September 2026.