Larissa Gushansky, DDS Inc.
NPI #1013102029 in Pomona, California
Provider Information
- NPI Number
- 1013102029
- Entity Type
- Organization
- Organization Name
- Larissa Gushansky, DDS Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 12, 2007
- Last Updated
- Nov 9, 2021
Practice Location
- Address
- 887 E 2ND ST STE D
- City
- Pomona
- State
- California
- ZIP Code
- 91766-2009
- Phone
- (909) 865-8595
Authorized Official
- Name
- DR. LARISSA GUSHANSKY, DDS
- Title
- OWNER
- Phone
- (909) 865-8595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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