Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY
Graduated: 1995
NPI: 1295894004
Practice Locations (3)
1325 BRIDGE MILL AVE
CANTON, GA 301147762
1150 PRIMROSE DR
ROSWELL, GA 300764217
5103 NW CACHE RD
LAWTON, OK 735053415
Source: CMS National Downloadable File, September 2026.