Medical school: LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 2005
NPI: 1962609115
Practice Locations (2)
6848 MAGNOLIA AVE, SUITE 230
RIVERSIDE, CA 925062858
9516829911
9041 MAGNOLIA AVE, SUITE 107
RIVERSIDE, CA 925033942
9513531021203
Source: CMS National Downloadable File, September 2026.