SpecialtyOral & Maxillofacial Surgeon
LocationWeston, FL
NPI1760541130
License statusActive
License number17777
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 11/16/2017). If this looks outdated, use "Report an issue" on this profile to suggest a correction.