Individual
DR. BENJAMIN K LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13880 BRADDOCK RD, SUITE 109, CENTREVILLE, VA 20121-2459
(703) 830-9990
Mailing address
13880 BRADDOCK RD, SUITE 109, CENTREVILLE, VA 20121-2459
(703) 830-9990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7961
VA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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