Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 1975
NPI: 1477511491
Practice Locations (1)
ORAL FACIAL RECONSTRUCTION AND IMPLANT CENTER OF S. FLORIDA INC.
100 NW 82ND AVE, SUITE 101 102
PLANTATION, FL 333247809
9544759840
Source: CMS National Downloadable File, September 2026.