SpecialtyPediatric Dentist
LocationPleasant Grove, UT
NPI1265059091
License number12772511-9922
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 06/28/2022). If this looks outdated, use "Report an issue" on this profile to suggest a correction.