| Benjamin K. Lee Dmd & Associates, P.c. | |
|
13880 Braddock Rd Suite 109 Centreville VA 20121-2459 | |
| (703) 830-9990 | |
| (703) 830-5400 |
| Full Name | Benjamin K. Lee Dmd & Associates, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13880 Braddock Rd, Centreville, Virginia |
| Authorized Official Name and Position | Benjamin K Lee (DENTIST) |
| Authorized Official Contact | 7038309990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin K. Lee Dmd & Associates, P.c. 13880 Braddock Rd Suite 109 Centreville VA 20121-2459 Ph: (703) 830-9990 | Benjamin K. Lee Dmd & Associates, P.c. 13880 Braddock Rd Suite 109 Centreville VA 20121-2459 Ph: (703) 830-9990 |
| NPI Number | 1982814133 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982814133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401007961 (Virginia) | Primary |
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