Medical school: NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Graduated: 2003
NPI: 1730109943
Practice Locations (3)
1325 BRIDGE MILL AVE
CANTON, GA 301147762
1150 PRIMROSE DR
ROSWELL, GA 300764217
3401 MERRICK RD
WANTAGH, NY 117934343
Source: CMS National Downloadable File, September 2026.