SpecialtyGeneral Dentist
LocationFort Lauderdale, FL
NPI1669720967
License statusActive
License number12877
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 08/17/2012). If this looks outdated, use "Report an issue" on this profile to suggest a correction.