Larissa Gushansky Dds, Inc. in South Gate - Dentist
Larissa Gushansky Dds, Inc. - NPI 1831383140
Larissa Gushansky Dds, Inc. is a Dentist in South Gate, California. Larissa Gushansky Dds, Inc. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larissa Gushansky Dds, Inc. is 1831383140. The last update date is 2007-08-29.
Larissa Gushansky Dds, Inc.'s current location address is 3175 Firestone Blvd, South Gate, California. You can contact this provider via phone number 3235639124 and fax number 3235639814. The mailing address for Larissa Gushansky Dds, Inc. is 3175 Firestone Blvd, South Gate, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larissa Gushansky Dds, Inc. |
|---|---|
| Address | 3175 Firestone Blvd, South Gate, California |
| Phone Number | 3235639124 |
| Fax Number | 3235639814 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gushansky Larissa |
| Credentials | D.D.S. |
| Telephone Number | 3235639124 |
NPI Number Detail
| NPI Number | 1831383140 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 3175 Firestone Blvd |
|---|---|
| City | South Gate |
| State | California (CA) |
| Post Code | 902802951 |
| Phone Number | 3235639124 |
| Fax Number | 3235639814 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 36156 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B36156-01 | CA | DENTI-CAL |
Post Comment/ Review Below
What is the Larissa Gushansky Dds, Inc.'s 1831383140?
The Larissa Gushansky Dds, Inc.'s NPI (National Provider Identifier) Number is 1831383140. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Larissa Gushansky Dds, Inc. is physically located?
The Larissa Gushansky Dds, Inc. is situated at the following address: 3175 Firestone Blvd, South Gate, CA 902802951.
What is Larissa Gushansky Dds, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larissa Gushansky Dds, Inc. is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Larissa Gushansky Dds, Inc. receive the assignment of its 1831383140 from the Centers for Medicare & Medicaid Services?
The Larissa Gushansky Dds, Inc. was issued its 1831383140 by the Centers for Medicare & Medicaid Services on 2007-08-29.
As of what date were the details related to Larissa Gushansky Dds, Inc. most recently updated or revised?
The information pertaining to Larissa Gushansky Dds, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2007-08-29.
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