Medical school: MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduated: 2022
NPI: 1871304790
Practice Locations (2)
5991 E PLACITA DE LAS LUCES
Tucson, AZ 857501819
TUCSON, AZ 85750
3032426565
Source: CMS National Downloadable File, September 2026.