SpecialtyOral & Maxillofacial Pathologist
LocationSalt Lake City, UT
NPI1053456368
License number168208-1205
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 07/08/2007). If this looks outdated, use "Report an issue" on this profile to suggest a correction.