Larissa Gushansky, Dds Inc.

LBN: Larissa Gushansky, Dds Inc.
Larissa Gushansky, Dds Inc. is an health care organization with primary practice located at 887 E 2Nd St Suite B, Pomona CA 91766-2009. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Larissa Gushansky, Dds Inc. can be contacted via phone (909) 865-8595, or through Gushansky, Larissa via phone (323) 563-9124.

Contact Information

Primary practice address
887 E 2Nd St Suite B Pomona CA 91766-2009
Phone: (909) 865-8595
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gushansky, Larissa
Phone: (323) 563-9124

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 36156 California

Profile Details

NPI number 1003000928
LBN Legal business name Larissa Gushansky, Dds Inc.
DBA Doing business as
Authorized official Gushansky, Larissa
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2007
Last updated Sep 4th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003000928 NPPES
California Other B36156-02 DENTI-CAL

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