Medical school: UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Graduated: 2012
NPI: 1821349549
Practice Locations (2)
1325 BRIDGE MILL AVE
Canton, GA 301147762
933 3 MILE RD NW, SUITE 110
GRAND RAPIDS, MI 495441673
Source: CMS National Downloadable File, September 2026.