SpecialtyGeneral Dentist
LocationSalt Lake City, UT
NPI1386064079
License number9291145-9922
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 07/09/2018). If this looks outdated, use "Report an issue" on this profile to suggest a correction.