SpecialtyOral & Maxillofacial Surgeon
LocationSalt Lake City, UT
NPI1225171135
License number6216924-9924
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 09/17/2010). If this looks outdated, use "Report an issue" on this profile to suggest a correction.