Larissa Gushansky, DDS Inc.
NPI #1154516680 in South Gate, California
Provider Information
- NPI Number
- 1154516680
- Entity Type
- Organization
- Organization Name
- Larissa Gushansky, DDS Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 7, 2007
- Last Updated
- Nov 30, 2021
Practice Location
- Address
- 3175 FIRESTONE BLVD STE 200
- City
- South Gate
- State
- California
- ZIP Code
- 90280-2951
- Phone
- (323) 563-9124
Authorized Official
- Name
- DR. LARISSA GUSHANSKY, DDS
- Title
- OWNER
- Phone
- (323) 563-9124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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