Susanna Gukasov DDS Professional Corporation
Susanna Gukasov DDS Professional Corporation is a Dental Clinic/Center in Northridge, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
19520 Nordhoff St Ste 17Northridge, CA 91324-2444
Phone: (818) 701-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1285403436 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susanna Gukasov — Dentist · (323) 369-2493 |
| NPI enumerated | December 29, 2023 |
| Last updated in NPPES | January 12, 2024 |
| Certification date | January 12, 2024 |
| Mailing address | 18746 Maplewood Ln, Porter Ranch, CA 91326-3927 |
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