Medical school: UNIV OF CALIF, SAN FRANCISCO SCHOOL OF DENTISTRY
Graduated: 2020
Also: DENTIST
NPI: 1851706048
Practice Locations (2)
5757 W THUNDERBIRD RD, SUITE W301
GLENDALE, AZ 853065606
6029383777
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
1432 S DOBSON RD, SUITE 301
MESA, AZ 852024773
4804129400
Source: CMS National Downloadable File, September 2026.