Medical school: CASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated: 2016
NPI: 1669928685
Practice Locations (3)
3300 TULLY RD, SUITE A6
MODESTO, CA 953500867
1211 S PRAIRIE AVE APT, SUITE 4901
Chicago, IL 606053662
111 N WABASH AVE, SUITE 812
CHICAGO, IL 606021912
Source: CMS National Downloadable File, September 2026.