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
—
—
Other
Enumeration date
05/23/2025
Last updated
05/30/2025
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