SpecialtyOral & Maxillofacial Surgeon
LocationPark City, UT
NPI1992151849
License number11593102-9924
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 07/01/2020). If this looks outdated, use "Report an issue" on this profile to suggest a correction.