SpecialtyGeneral Dentist
LocationBrandon, FL
NPI1265411953
License statusInactive
License number12680
License expires02/28/2026
Disciplinary recordOn file
Last verified by WhoIsMyDentist: 2026-07-17. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 10/13/2023). If this looks outdated, use "Report an issue" on this profile to suggest a correction.