Medical school: UNIV OF MISSOURI-KANSAS CITY SCHOOL OF DENTISTRY
Graduated: 2022
NPI: 1902535826
Practice Locations (2)
115 WALLER AVE, SUITE 209
Lexington, KY 405031035
115 WALLER AVE, SUITE 209
LEXINGTON, KY 405031035
Source: CMS National Downloadable File, September 2026.