SpecialtyOral & Maxillofacial Surgeon
LocationGrand Rapids, MI
NPI1518187806
License number29010183666
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 03/17/2018). If this looks outdated, use "Report an issue" on this profile to suggest a correction.