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1679919997
SUSANNA GUKASOV
NORTHRIDGE, CA
NPI
1679919997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 61455)
Enumeration Date
2013-05-14
Last Update Date
2024-07-29
Business Address
SUSANNA GUKASOV D.D.S.
19520 NORDHOFF ST STE 17
NORTHRIDGE, CA 91324-2444
Phone number: 818-565-0057
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Mailing Address
SUSANNA GUKASOV D.D.S.
19520 NORDHOFF ST STE 17
NORTHRIDGE, CA 91324-2444
Phone number: 818-701-9400
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