Medical school: UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY
Graduated: 2000
NPI: 1164564951
Practice Locations (1)
OROFACIAL AND DENTAL IMPLANT SURGERY ASSOCIATES PA
7352 STONEROCK CIR, SUITE A
ORLANDO, FL 328198000
4073510575
Source: CMS National Downloadable File, September 2026.