Medical school: OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduated: 2015
Also: DENTIST
NPI: 1376900795
Practice Locations (3)
5110 PARK RD, SUITE 2A
CHARLOTTE, NC 282093699
5110 PARK RD, SUITE 2A
CHARLOTTE, NC 282093745
2983 LONG BEACH RD
OCEANSIDE, NY 115723204
Source: CMS National Downloadable File, September 2026.