SpecialtyOral & Maxillofacial Surgeon
LocationCoeur D Alene, ID
NPI1265549968
License numberD-1861-OS
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 04/29/2009). If this looks outdated, use "Report an issue" on this profile to suggest a correction.