SpecialtyOral & Maxillofacial Surgeon
LocationWest Valley, UT
NPI1427127422
License number4947070-9924
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 04/15/2019). If this looks outdated, use "Report an issue" on this profile to suggest a correction.