887 E 2ND ST SUITE B
POMONA, CA 91766-2009 US
Overview
Larissa Gushansky, Dds Inc. is a healthcare organization in the POMONA area. Larissa Gushansky, Dds Inc. primary office location is at 887 E 2ND ST and new patients are welcome to contact this healthcare organization for an appointment. The NPI number is 1003000928 and the information was updated approximately 17 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: Unknown
Participates in PECOS: NO
Contact Information
| License Number | State |
|---|---|
| 36156 | CA |
| Type/Issuer | Identifier | State |
|---|---|---|
| DENTI-CAL | B36156-02 | CA |
| Taxonomy | State | Primary? |
|---|---|---|
| Dentist - Taxonomy Code 122300000X | CA | Y |
| Single Specialty Group - Taxonomy Code 193400000X | CA | N |
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