Graduated: 1994
NPI: 1003886912
Practice Locations (2)
ROANOKE ORAL SURGERY INC
3229 BRANDON AVE SW
ROANOKE, VA 240181547
5403625900
ROANOKE ORAL SURGERY INC
6035 PETERS CREEK RD
ROANOKE, VA 240194029
5403625900
Source: CMS National Downloadable File, September 2026.