Medical school: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated: 2011
NPI: 1669751871
Practice Locations (2)
10608 INDIAN TRL, 2D
Cooper City, FL 333285512
1212 S MARYLAND PKWY
LAS VEGAS, NV 891041728
Source: CMS National Downloadable File, September 2026.