Larissa Gushansky, DDS Inc.

NPI #1003000928 in Pomona, California

Provider Information

NPI Number: 1003000928
Entity Type: Organization
Organization Name: Larissa Gushansky, DDS Inc.
Primary Specialty: Dentist
Enumeration Date: Sep 4, 2007
Last Updated: Sep 4, 2007

Practice Location

Address: 887 E 2ND ST
Address 2: SUITE B
City: Pomona
State: California
ZIP Code: 91766-2009
Phone: (909) 865-8595

Authorized Official

Name: DR. LARISSA GUSHANSKY
Title: PRESIDENT
Phone: (323) 563-9124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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