SpecialtyOral & Maxillofacial Surgeon
LocationPrairie Village, KS
NPI1912353574
License number61804
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 06/08/2021). If this looks outdated, use "Report an issue" on this profile to suggest a correction.