SpecialtyPediatric Dentist
LocationProvo, UT
NPI1811446727
License number9813262-9923
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 01/09/2020). If this looks outdated, use "Report an issue" on this profile to suggest a correction.