Graduated: 2015
Also: MAXILLOFACIAL SURGERY
NPI: 1104142470
Practice Locations (3)
MAINEHEALTH
190 PARK AVE
PORTLAND, ME 041022910
2078196600
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
UNM MEDICAL GROUP INC
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 871062719
5052722111
Source: CMS National Downloadable File, September 2026.