SpecialtyOral & Maxillofacial Surgeon
LocationBothell, WA
NPI1225202682
License numberDE 00010766
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 11/24/2015). If this looks outdated, use "Report an issue" on this profile to suggest a correction.