Medical school: MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduated: 2021
NPI: 1891374856
Practice Locations (4)
800 N COUNTRY CLUB RD, APT 3325
TUCSON, AZ 857164553
PO BOX
BELFAST, ME 04915
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
14201 DALLAS PKWY
DALLAS, TX 752542916
Source: CMS National Downloadable File, September 2026.