# DR. HAMLET AVANESIAN DDS A PROFESSIONAL DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669955282
- **Authorized official:** DR. HAMLET AVANESIAN DDS (DENTIST)
- **Authorized official phone:** (818) 659-7200

## Contact information

- **Practice address:** 701 S GLENOAKS BLVD, BURBANK, CA 91502-1417
- **Practice address phone:** (818) 638-7200
- **Practice address fax:** (818) 657-7080
- **Mailing address:** 1902 W GLENOAKS BLVD, GLENDALE, CA 91201-1616
- **Mailing address phone:** (818) 638-7200
- **Mailing address fax:** (818) 657-7080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2018
- **Last updated:** 11/15/2018