Larissa Gushansky Dds

NPI 1013102029 - Dentist - 1223G0001X

NPI Details
NPI 1013102029
Enumeration Date 09/12/2007
Last Updated 09/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARISSA LARISSA
Position OWNER
Phone (909) 865-8595
Fax
Practice Location
887 E 2ND ST STE D
POMONA CA, 91766-2009, US
Phone (909) 865-8595
Fax
Business Location
887 E 2ND ST STE D
POMONA CA, 91766-2009, US
Phone (909) 865-8595
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1013102029 NPI Number
 

According to our database, Larissa Gushansky Dds NPI is 1013102029, taxonomy code is 1223G0001X Larissa Gushansky Dds physically located at 887 E 2nd St Ste D, Pomona CA, 91766-2009. NPI Number 1033115704 has the healthcare provider type.

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1013102029 NPI number is provided on an as is basis without warranty of any kind. 1013102029 is maintained by the National Plan & Provider Enumeration System. The contents of Larissa Gushansky Dds are for informational purposes only.