Medical school: INDIANA UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 2011
Also: ORAL SURGERY
NPI: 1376701045
Practice Locations (1)
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC
7845 CARNEGIE BLVD
FORT WAYNE, IN 468045792
2604232340
Source: CMS National Downloadable File, September 2026.