NPI 1003000928

Larissa Gushansky, DDS INC.

Organisation Dentist Pomona, CA

Practice location

Address: 887 E 2nd St Suite B, Pomona, CA 91766-2009
Phone: (909) 865-8595

Authorised official

Name: Larissa Gushansky
Title: President
Phone: (323) 563-9124

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 36156 (CA)

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Registry record

NPI: 1003000928
Entity type: Organization
NPI issued: 4 Sep 2007
Record last updated: 4 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.