Medical school: COLUMBIA UNIVERSITY COLLEGE OF DENTAL MEDICINE
Graduated: 2023
NPI: 1912607326
Practice Locations (2)
2630 1ST AVE, SUITE 211
SAN DIEGO, CA 921036528
1885 FM 2673 UNIT, SUITE 146
Canyon Lake, TX 781334765
Source: CMS National Downloadable File, September 2026.