Graduated: 1998
NPI: 1063587608
Practice Locations (3)
1250 W DOROTHY LN, SUITE 208
Kettering, OH 454091313
1250 W DOROTHY LANE, SUITE 208
KETTERING, OH 454091313
1250 W DOROTHY LN, SUITE 208
KETTERING, OH 454091313
9372989241
Source: CMS National Downloadable File, September 2026.