Medical school: UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
Graduated: 2007
Also: MAXILLOFACIAL SURGERY
NPI: 1164829438
Practice Locations (1)
SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC
29427 RYAN RD
WARREN, MI 480922203
5867559340
Source: CMS National Downloadable File, September 2026.