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Theresia Laksmana - Dmd - Dental Corporation
Periodontist in Culver City, California
NPI 1124428271

Theresia Laksmana - Dmd - Dental Corporation is a Periodontist based in Culver City, CA and is specialized in Periodontics. Theresia Laksmana - Dmd - Dental Corporation practices in Culver City, CA. The NPI Number for Theresia Laksmana - Dmd - Dental Corporation is 1124428271 and holds a License No. 58149 (California).

The current practice location address for Theresia Laksmana - Dmd - Dental Corporation is 12035 Lucile St, Culver City, CA and can be reached out via phone at 310-945-8382.

Location: 12035 Lucile St, Culver City, CA, 90230-6239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124428271
Provider Name
Theresia Laksmana - Dmd - Dental Corporation
Credential
Provider Entity Type
Organization
Address
12035 Lucile St, Culver City, CA, 90230-6239
Phone Number
310-945-8382
Fax Number
Provider Enumeration Date
08/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12035 Lucile St
City
Culver City
State
California
Zip
90230-6239
Phone Number
310-945-8382
Fax Number
person
Provider Business Mailing Address Details
Address
12035 Lucile St
City
Culver City
State
California
Zip
90230-6239
Phone Number
310-945-8382
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
58149 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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