Medical school: EAST CAROLINA UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 2024
NPI: 1316736978
Practice Locations (3)
364 S HWY 16, SUITE 100
Stanley, NC 28164
364 S HWY 16, SUITE 100
STANLEY, NC 28164
364 S HWY 16 100
STANLEY, NC 28164
Source: CMS National Downloadable File, September 2026.