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Organization
MARYAM AVIN DDS PC
Active
Organization
MARYAM AVIN DDS PC
Active
Other names
Maryam Avin DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM AVIN DDS (OWNER)
(703) 687-3255
Entity
Organization
Contact information
Practice address
19366 DIAMOND LAKE DR, LEESBURG, VA 20176-6574
(703) 687-3255
(703) 687-3246
Mailing address
19366 DIAMOND LAKE DR, LEESBURG, VA 20176-6574
(703) 687-3255
(703) 687-3246
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/23/2025
Last updated
05/30/2025
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