Medical school: UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduated: 2005
Also: ORAL SURGERY
NPI: 1881620771
Practice Locations (2)
515 DELAWARE ST SE, 7 220 MOOS TOWER
MINNEAPOLIS, MN 554550357
515 DELAWARE ST SE, 7 530 MOOS HEALTH SCIENCES TOWER
MINNEAPOLIS, MN 554550329
Source: CMS National Downloadable File, September 2026.