Individual
DR. KEVIN A RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5312 CAROLINA PL, SPRINGFIELD, VA 22151-4401
(703) 354-8811
(703) 354-1768
Mailing address
5312 CAROLINA PL, SPRINGFIELD, VA 22151-4401
(703) 354-8811
(703) 354-1768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005945
VA
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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