Individual
DR. RYAN JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
11001 LEE HWY STE A, FAIRFAX, VA 22030-5018
(703) 691-9740
Mailing address
11001 LEE HWY STE A, FAIRFAX, VA 22030-5018
(703) 691-9740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411201
VA
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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