| NPI | 1245445519 |
|---|---|
| Other Name | BENJAMIN JIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA B39660) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA B39660) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |