SpecialtyGeneral Dentist
LocationBonita Springs, FL
NPI1336710185
License statusActive
License number26175
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 07/02/2021). If this looks outdated, use "Report an issue" on this profile to suggest a correction.