Medical school: MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduated: 2022
NPI: 1326783382
Practice Locations (2)
36 NICOLE CT
OLD FORGE, PA 185182148
501 S WASHINGTON AVE, SUITE 1000
SCRANTON, PA 185053805
Source: CMS National Downloadable File, September 2026.