Individual
DR. WILLIAM T. RYALS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10621 BRADDOCK RD, SUITE D, FAIRFAX, VA 22032-2200
(703) 352-3292
(703) 352-3294
Mailing address
10621 BRADDOCK RD, SUITE D, FAIRFAX, VA 22032-2200
(703) 352-3292
(703) 352-3294
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401008446
VA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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