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1831383140
LARISSA GUSHANSKY DDS, INC.
SOUTH GATE, CA
NPI
1831383140
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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
2007-08-29
Last Update Date
2007-08-29
Business Address
LARISSA GUSHANSKY DDS, INC.
3175 FIRESTONE BLVD SUITE200
SOUTH GATE, CA 90280-2951
Phone number: 323-563-9124
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Mailing Address
LARISSA GUSHANSKY DDS, INC.
3175 FIRESTONE BLVD SUITE200
SOUTH GATE, CA 90280-2951
Phone number: 323-563-9124
Copy
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