Graduated: 2012
NPI: 1073966545
Practice Locations (2)
INNOVATIVE IMPLANT AND ORAL SURGERY PC
1494 OLD YORK RD, FL 2
ABINGTON, PA 190012614
2153227810
INNOVATIVE IMPLANT AND ORAL SURGERY PC
1300 BRIDGETOWN PIKE
FEASTERVILLE, PA 190534326
2153227810
Source: CMS National Downloadable File, September 2026.