| NPI | 1548478399 |
|---|---|
| Professional Name | LARISSA GUSHANSKY, DDS, INC. |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 36156) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 36156) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-11-30 |