SpecialtyOral & Maxillofacial Surgeon
LocationJbsa Lackland, TX
NPI1326694845
License number111699
Last verified by WhoIsMyDentist: 2026-07-17. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 10/30/2025). If this looks outdated, use "Report an issue" on this profile to suggest a correction.