Medical school: UNIVERSITY OF TENNESSEE HSC COLLEGE OF DENTISTRY
Graduated: 2010
NPI: 1104138411
Practice Locations (2)
1325 BRIDGE MILL AVE
CANTON, GA 301147762
4020 COPPER VW, SUITE 200
TRAVERSE CITY, MI 496846005
Source: CMS National Downloadable File, September 2026.