LARISSA GUSHANSKY DDS INC. NPI 1013102029

NPI Information

LARISSA GUSHANSKY, DDS INC. is a general practice dentist in Pomona, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LARISSA GUSHANSKY, DDS INC. NPI is 1013102029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

887 E 2ND ST STE D
POMONA, CA
ZIP 91766-009
Phone: (909) 865-8595

The provider's authorized official is Larissa Gushansky .
The authorized official title is Owner and has the following contact phone number (909) 865-8595.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 11/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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