SpecialtyOral & Maxillofacial Surgeon
LocationPuyallup, WA
NPI1619047511
License numberDE 60063175
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 04/10/2017). If this looks outdated, use "Report an issue" on this profile to suggest a correction.