Individual
BENJAMIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13048 RESEARCH BLVD STE B, SUITE B, AUSTIN, TX 78750-3205
(512) 257-2828
Mailing address
13048 RESEARCH BLVD STE B, SUITE B, AUSTIN, TX 78750-3205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29599
TX
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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