Susanna Gukasov DDS Professional Corporation
NPI #1285403436 in Northridge, California
Provider Information
- NPI Number
- 1285403436
- Entity Type
- Organization
- Organization Name
- Susanna Gukasov DDS Professional Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 29, 2023
- Last Updated
- Jan 12, 2024
Practice Location
- Address
- 19520 NORDHOFF ST STE 17
- City
- Northridge
- State
- California
- ZIP Code
- 91324-2444
- Phone
- (818) 701-9400
Authorized Official
- Name
- SUSANNA GUKASOV, DDS
- Title
- DENTIST
- Phone
- (323) 369-2493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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