Medical school: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated: 2004
Also: ORAL SURGERY
NPI: 1558340232
Practice Locations (2)
HALIFAX HEALTHCARE SYSTEMS INC
303 N CLYDE MORRIS BLVD
DAYTONA BCH, FL 321142709
3862544000
FLORIDA ORAL AND FACIAL SURGICAL ASSOCIATES PA
549 HEALTH BLVD
DAYTONA BEACH, FL 321141493
3862526438
Source: CMS National Downloadable File, September 2026.