SpecialtyGeneral Dentist
LocationSalt Lake City, UT
NPI1033376066
License number67174419922
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 05/19/2008). If this looks outdated, use "Report an issue" on this profile to suggest a correction.