Medical school: MEDICAL UNIV OF SOUTH CAROLINA COL OF DENTAL MED
Graduated: 2004
Also: MAXILLOFACIAL SURGERY
NPI: 1518174614
Practice Locations (1)
BLUE RIDGE ORAL SURGERY, INC.
54 S MEDICAL PARK DR
FISHERSVILLE, VA 229392333
5408862956
Source: CMS National Downloadable File, September 2026.