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Organization
TOWN CENTER DENTISTRY
Active
Organization
TOWN CENTER DENTISTRY
Active
Other names
esthetic dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMLET AVANESIAN (DDS)
(818) 548-7700
Entity
Organization
Contact information
Practice address
1902 W GLENOAKS BLVD, GLENDALE, CA 91201-1616
(818) 638-7200
Mailing address
316 E BROADWAY # A, GLENDALE, CA 91205-1011
(818) 548-7700
(818) 548-7697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50563
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9338001
DENTI-CAL
CA
Enumeration date
09/15/2015
Last updated
09/15/2015
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