SpecialtyOral & Maxillofacial Surgeon
LocationFt Leonard Wood, MO
NPI1053574517
License number2008019427
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 07/16/2015). If this looks outdated, use "Report an issue" on this profile to suggest a correction.