SpecialtyOral & Maxillofacial Surgeon
LocationFresh Meadows, NY
NPI1285972844
License number058697-1
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 11/09/2017). If this looks outdated, use "Report an issue" on this profile to suggest a correction.