SpecialtyGeneral Dentist
LocationSalt Lake City, UT
NPI1184248734
License number11775864-9921
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 05/29/2020). If this looks outdated, use "Report an issue" on this profile to suggest a correction.