Individual
ALEX B AVANESSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7334 GIRARD AVE, STE 204, LA JOLLA, CA 92037-5141
(858) 459-0858
(858) 459-0878
Mailing address
7334 GIRARD AVE, STE 204, LA JOLLA, CA 92037-5141
(858) 459-0858
(858) 459-0878
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
43518
CA
Other
Enumeration date
06/01/2005
Last updated
07/08/2007
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