Medical school: UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Graduated: 1996
Also: ORAL SURGERY
NPI: 1952397093
Practice Locations (2)
23655 NOVI RD, SUITE 103
NOVI, MI 483755442
23655 NOVI RD, SUITE 103
NOVI, MI 483755442
2483482115
Source: CMS National Downloadable File, September 2026.