SpecialtyPediatric Dentist
LocationChippewa Falls, WI
NPI1619354891
License number1001500
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 10/09/2018). If this looks outdated, use "Report an issue" on this profile to suggest a correction.