SpecialtyOral & Maxillofacial Surgeon
LocationCarlise Barracks, PA
NPI1558317784
License number20428
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 06/30/2014). If this looks outdated, use "Report an issue" on this profile to suggest a correction.