Medical school: OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduated: 2011
NPI: 1326334533
Practice Locations (3)
1404 PARK AVE W, SUITE 2
Mansfield, OH 449062719
1404 PARK AVE W, SUITE 2
MANSFIELD, OH 449062719
1404 PARK AVE W, SUITE 2
ONTARIO, OH 449062719
Source: CMS National Downloadable File, September 2026.