Medical school: UNIV OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY
Graduated: 1993
Also: MAXILLOFACIAL SURGERY
NPI: 1760439228
Practice Locations (2)
PENNA ORAL AND MAXILLOFACIAL SURGERY
26 S BRYN MAWR AVE
BRYN MAWR, PA 190103201
6105273112
PENNA ORAL AND MAXILLOFACIAL SURGERY
860 1ST AVE, SUITE 3
KING OF PRUSSIA, PA 194064033
6102652150
Source: CMS National Downloadable File, September 2026.