SpecialtyGeneral Dentist
LocationSalt Lake City, UT
NPI1568483717
License number143483-9923
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 06/26/2023). If this looks outdated, use "Report an issue" on this profile to suggest a correction.