SpecialtyOral & Maxillofacial Surgeon
LocationMount Prospect, IL
NPI1417146838
License number2596
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 06/03/2011). If this looks outdated, use "Report an issue" on this profile to suggest a correction.