MEDICARE: AVANESS DENTAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1790439024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVANESS DENTAL GROUP INC

Provider Business Mailing Address
First Line	:	23206 LYONS AVE STE 208
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-2672
Country	:	US
Telephone Number	:	661-254-5588
Fax Number	:

Provider Business Practice Location Address
First Line	:	23206 LYONS AVE STE 208
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-2672
Country	:	US
Telephone Number	:	661-254-5588
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT/DENTIST
Name	:	DR. KARINEH AVANESS
Credential	:	DMD
Telephone Number	:	818-209-7702

Provider Enumeration Date	:	02/06/2022
Last Update Date	:	06/02/2026

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Directions to “AVANESS DENTAL GROUP INC ” Practice Location

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