Medical school: OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduated: 2010
NPI: 1619287950
Practice Locations (5)
1921 S 9TH ST
Saint Louis, MO 631043931
1921 S 9TH ST
SAINT LOUIS, MO 631043931
600 W 3RD ST
Mansfield, OH 449062633
600 W 3RD ST
MANSFIELD, OH 449062633
1404 PARK AVE W, SUITE 2
ONTARIO, OH 449062719
Source: CMS National Downloadable File, September 2026.