SpecialtyDentist
LocationNorth Fort Myers, FL
NPI1811167919
License statusActive
License number11947
License expires02/28/2028
Disciplinary recordClear
Last verified by WhoIsMyDentist: 2026-07-17. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 05/09/2019). If this looks outdated, use "Report an issue" on this profile to suggest a correction.