SpecialtyGeneral Dentist
LocationCottonwood Heights, UT
NPI1508430414
License number12304444-9922
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 05/15/2021). If this looks outdated, use "Report an issue" on this profile to suggest a correction.