Healthcare Provider Details

I. General information

NPI: 1629984380
Provider Name (Legal Business Name): CRESCENTA VALLEY PEDIATRIC DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 HONOLULU AVE
LA CRESCENTA CA
91214-3714
US

IV. Provider business mailing address

3011 HONOLULU AVE
LA CRESCENTA CA
91214-3714
US

V. Phone/Fax

Practice location:
  • Phone: 818-330-9070
  • Fax:
Mailing address:
  • Phone: 818-330-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HAMLET AVANESIAN
Title or Position: DR./OWNER
Credential: DDS
Phone: 818-330-9070