Medical school: INDIANA UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 2006
Also: DENTIST, MAXILLOFACIAL SURGERY, ORAL SURGERY
NPI: 1184848095
Practice Locations (1)
INDIANA UNIVERSITY
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 462025149
3172748300
Source: CMS National Downloadable File, September 2026.