Medical school: UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE
Graduated: 2005
NPI: 1346418241
Practice Locations (2)
21 INDUSTRIAL BLVD, SUITE 100
PAOLI, PA 193011610
21 INDUSTRIAL BLVD, SUITE 100
PAOLI, PA 193011636
Source: CMS National Downloadable File, September 2026.