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1003000928
LARISSA GUSHANSKY, DDS INC.
POMONA, CA
NPI
1003000928
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Entity Type
Organization
Authorized Contact
LARISSA GUSHANSKY
President
323-563-9124
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 36156)
Enumeration Date
2007-09-04
Last Update Date
2007-09-04
Business Address
LARISSA GUSHANSKY, DDS INC.
887 E 2ND ST SUITE B
POMONA, CA 91766-2009
Phone number: 909-865-8595
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Mailing Address
LARISSA GUSHANSKY, DDS INC.
887 E 2ND ST SUITE B
POMONA, CA 91766-2009
Phone number: 909-865-8595
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