Medical school: UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE
Graduated: 2004
Also: DENTIST
NPI: 1992964795
Practice Locations (1)
UNIVERSITY OF KENTUCKY
2195 HARRODSBURG RD, SUITE 175
LEXINGTON, KY 405043504
8592186926
Source: CMS National Downloadable File, September 2026.