Medical school: OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduated: 2005
NPI: 1073725594
Practice Locations (2)
COASTAL ORAL SURGERY GROUP LLC
1608 ROUTE 88 W, SUITE 101
BRICK, NJ 087243009
7328404600
COASTAL ORAL SURGERY GROUP LLC
9 HOSPITAL DR, SUITE A6
TOMS RIVER, NJ 087556425
7322861199
Source: CMS National Downloadable File, September 2026.