SpecialtyGeneral Dentist
LocationCrystal River, FL
NPI1619298759
License statusActive
License number18979
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 10/02/2013). If this looks outdated, use "Report an issue" on this profile to suggest a correction.