Medical school: UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Graduated: 1998
NPI: 1053471698
Practice Locations (2)
1790 ATKINSON RD
LAWRENCEVILLE, GA 300437988
1790 ATKINSON RD NW, BUILDING 4 SUITE B
LAWRENCEVILLE, GA 300437989
Source: CMS National Downloadable File, September 2026.