Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1508949058
Practice Locations (3)
WEST VIRGINIA UNIVERSITY DENTAL CORPORATION
1 MEDICAL CTR DR
MORGANTOWN, WV 26507
3042936129
WEST VIRGINIA UNIVERSITY DENTAL CORPORATION
PO BOX
MORGANTOWN, WV 26507
WEST VIRGINIA UNIVERSITY DENTAL CORPORATION
PO BOX, SUITE 1587
MORGANTOWN, WV 265071587
Source: CMS National Downloadable File, September 2026.