SpecialtyOral & Maxillofacial Surgeon
LocationLogan, UT
NPI1821136805
License number139690-9924
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 08/06/2015). If this looks outdated, use "Report an issue" on this profile to suggest a correction.