SpecialtyPediatric Dentist
LocationProvo, UT
NPI1760828834
License number8660056-9923
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 05/16/2013). If this looks outdated, use "Report an issue" on this profile to suggest a correction.