SpecialtyOral & Maxillofacial Surgeon
LocationLackland A F B, TX
NPI1194710053
License number4705
Last verified by WhoIsMyDentist: 2026-07-17. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 09/13/2010). If this looks outdated, use "Report an issue" on this profile to suggest a correction.