Individual
BENJAMIN LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3565 LEE HWY # S3B, ARLINGTON, VA 22207-3756
(571) 447-5577
Mailing address
6650 BRYSON ALEXANDER WAY APT 206, FALLS CHURCH, VA 22042-2288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417339
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2020
Last updated
07/15/2021
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