Medical school: OREGON HEALTH & SCIENCES UNIV SCHOOL OF DENTISTRY
Graduated: 2014
Also: ORAL SURGERY
NPI: 1760895866
Practice Locations (2)
2000 6TH AVE S FL, SUITE 1
Birmingham, AL 352332110
PO BOX
BOSTON, MA 02241
Source: CMS National Downloadable File, September 2026.