SpecialtyPediatric Dentist
LocationSpanish Fork, UT
NPI1104003102
License number6679426-9922
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 12/09/2021). If this looks outdated, use "Report an issue" on this profile to suggest a correction.