Medical school: COLUMBIA UNIVERSITY COLLEGE OF DENTAL MEDICINE
Graduated: 2023
NPI: 1134829088
Practice Locations (2)
625 ELMWOOD AVE BOX
ROCHESTER, NY 146202913
625 ELMWOOD AVE BOX, ATTN DCBO
ROCHESTER, NY 146202913
Source: CMS National Downloadable File, September 2026.