Avin, Maryam
Avin, Maryam is an sole proprietor health care provider with primary practice located at 19366 Diamond Lake Dr , Leesburg VA 20176-6574. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Avin, Maryam can be contacted via phone (703) 687-3255.Contact Information
Primary practice address
19366 Diamond Lake Dr
Leesburg VA 20176-6574
Phone: (703) 687-3255
Fax: (703) 687-3246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401410065 | Virginia |
Profile Details
| NPI number | 1871640870 |
|---|---|
| LBN Legal business name | Avin, Maryam |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Apr 19th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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