Medical school: UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Graduated: 2019
NPI: 1194371112
Practice Locations (2)
115 WALLER AVE, SUITE 209
Lexington, KY 405031035
115 WALLER AVE, SUITE 209
LEXINGTON, KY 405031035
Source: CMS National Downloadable File, September 2026.