SpecialtyGeneral Dentist
LocationSalt Lake City, UT
NPI1972602019
License number131873-9921
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 08/20/2007). If this looks outdated, use "Report an issue" on this profile to suggest a correction.