Medical school: UNIV OF CALIF, LOS ANGELES SCHOOL OF DENTISTRY
Graduated: 1985
NPI: 1871539221
Practice Locations (3)
164 W HOSPITALITY LN, SUITE 14
SAN BERNARDINO, CA 91408
PO BOX, SUITE 11327
SAN BERNARDINO, CA 92423
3850 W BUENA VISTA AVE
VISALIA, CA 932918427
Source: CMS National Downloadable File, September 2026.