Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1996
NPI: 1235115833
Practice Locations (1)
MILL CREEK ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES INC
5437 MAHONING AVE, SUITE 12
AUSTINTOWN, OH 445152421
3307922501
Source: CMS National Downloadable File, September 2026.