SpecialtyGeneral Dentist
LocationDaytona Beach, FL
NPI1962539197
License statusActive
License number9896
License expires02/28/2028
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 12/27/2012). If this looks outdated, use "Report an issue" on this profile to suggest a correction.