Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1980
Also: ORAL SURGERY
NPI: 1245218544
Practice Locations (2)
CASE DENTAL MEDICINE SUPPORT SERVICES,LLC
11100 EUCLID AVE
CLEVELAND, OH 441061716
2168441000
CASE DENTAL MEDICINE SUPPORT SERVICES,LLC
9601 CHESTER AVE, SUITE 154
CLEVELAND, OH 441061666
2163684331
Source: CMS National Downloadable File, September 2026.