Medical school: COLUMBIA UNIVERSITY COLLEGE OF DENTAL MEDICINE
Graduated: 1984
Also: ORAL SURGERY
NPI: 1114992757
Practice Locations (1)
ORAL AND MAXILLOFACIAL NETWORK PLLC
1500 S MAIN ST
FORT WORTH, TX 761044917
8177026936
Source: CMS National Downloadable File, September 2026.