Medical school: UNIV OF PITTSBURGH SCHOOL OF DENTAL MEDICINE
Graduated: 1990
NPI: 1104903954
Practice Locations (3)
9425 DELEGATES ROW
INDIANAPOLIS, IN 462403805
404 RIDGE ST
FREELAND, PA 182241802
146 SUSQUEHANNA BLVD
WEST HAZLETON, PA 182021118
Source: CMS National Downloadable File, September 2026.