THERESIA LAKSMANA - DMD - DENTAL CORPORATION

Dentist - Periodontics

Active Organization
NPI: 1124428271

Practice Address

12035 LUCILE ST
Culver City, CA 90230

Phone: (310) 945-8382

Specialties

Specialty Code Primary License
Dentist - Periodontics 1223P0300X Yes 58149 (CA)

Frequently Asked Questions

NPI 1124428271 is the National Provider Identifier for THERESIA LAKSMANA - DMD - DENTAL CORPORATION, a Dentist - Periodontics provider located in Culver City, CA. This NPI was enumerated on August 26, 2014.

Quick Facts

NPI
1124428271
Type
Organization
Enumerated
Aug 26, 2014
Last Updated
Aug 26, 2014

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