| Larissa Gushansky Dds, Inc. | |
|
3175 Firestone Blvd Suite200 South Gate CA 90280-2951 | |
| (323) 563-9124 | |
| (323) 563-9814 |
| Full Name | Larissa Gushansky Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 3175 Firestone Blvd, South Gate, California |
| Authorized Official Name and Position | Larissa Gushansky (PRESIDENT) |
| Authorized Official Contact | 3235639124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larissa Gushansky Dds, Inc. 3175 Firestone Blvd Suite200 South Gate CA 90280-2951 Ph: (323) 563-9124 | Larissa Gushansky Dds, Inc. 3175 Firestone Blvd Suite200 South Gate CA 90280-2951 Ph: (323) 563-9124 |
| NPI Number | 1831383140 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831383140 | NPI | - | NPPES |
| B36156-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 36156 (California) | Primary |
Sepideh Noroozi D.d.s. Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3525 Firestone Blvd, South Gate, CA 90280 Phone: 310-566-0581 Fax: 323-566-8328 | |
Cohen & Keihani & Jabaiti Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8617 California Ave, South Gate, CA 90280 Phone: 323-999-2378 | |
Ahmed K Saad Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12009 Garfield Ave, South Gate, CA 90280 Phone: 562-630-7777 Fax: 562-630-8059 | |
Sorour Dental Group Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3173 Tweedy Blvd, South Gate, CA 90280 Phone: 323-564-4554 | |
Larissa Gushansky, Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3175 Firestone Blvd Ste 200, South Gate, CA 90280 Phone: 323-563-9124 Fax: 323-563-9814 | |
Sahawneh Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9918 Atlantic Ave, South Gate, CA 90280 Phone: 323-567-1227 Fax: 323-567-2181 | |
Farzad Mazloomi Dmd Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8330 Long Beach Blvd Ste 107, South Gate, CA 90280 Phone: 323-582-5411 Fax: 323-582-5568 |