SpecialtyGeneral Dentist
LocationSalt Lake City, UT
NPI1629021969
License number5428628-9921
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 02/27/2008). If this looks outdated, use "Report an issue" on this profile to suggest a correction.