Individual
RYAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14901 WASHINGTON ST, HAYMARKET, VA 20169-2921
(703) 753-7077
Mailing address
14400 GLEN MANOR DR APT 586, CHANTILLY, VA 20151-1858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401420143
VA
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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