Medical school: MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, DOWNERS GROVE
Graduated: 2024
NPI: 1114764768
Practice Locations (3)
6201 W 95TH ST
OAK LAWN, IL 604532701
19100 RIDGEWOOD PKWY, BLDG 1 7TH FLOOR
San Antonio, TX 782590001
19100 RIDGEWOOD PKWY
SAN ANTONIO, TX 782591828
Source: CMS National Downloadable File, September 2026.