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 |