Medical school: BAYLOR COLLEGE OF DENTISTRY/TEXAS A&M UNIVERSITY
Graduated: 1994
NPI: 1912965930
Practice Locations (1)
ORAL FACIAL RECONSTRUCTION AND IMPLANT CENTER OF S. FLORIDA INC.
1 SW 129TH AVE, SUITE 400
PEMBROKE PINES, FL 330271718
9544322080
Source: CMS National Downloadable File, September 2026.