Medical school: UNIVERSITY OF IOWA COLLEGE OF DENTISTRY
Graduated: 2004
NPI: 1699883751
Practice Locations (3)
1325 BRIDGE MILL AVE
Canton, GA 301147762
1150 PRIMROSE DR
ROSWELL, GA 300764217
2510 SUPERIOR DR NW, SUITE A
ROCHESTER, MN 559018349
Source: CMS National Downloadable File, September 2026.