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Dr. Martin Winata Laksana, DDS
General Practice Dentistry in Upland, California
NPI 1295894061

Martin Winata Laksana is a General Practice Dentistry based in Upland, CA and is specialized in General Practice. Martin Winata Laksana practices in Upland, CA and has the professional credentials of DDS. The NPI Number for Martin Winata Laksana is 1295894061 and holds a License No. 35512 (California).

The current practice location address for Martin Winata Laksana is 130 S Mountain Ave, Upland, CA and can be reached out via phone at 909-949-7002.

Location: 130 S Mountain Ave, Upland, CA, 91786-6268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295894061
Provider Name
Martin Winata Laksana
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
130 S Mountain Ave, Upland, CA, 91786-6268
Phone Number
909-949-7002
Fax Number
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
130 S Mountain Ave
City
Upland
State
California
Zip
91786-6268
Phone Number
909-949-7002
Fax Number
person
Provider Business Mailing Address Details
Address
130 S Mountain Ave
City
Upland
State
California
Zip
91786-6268
Phone Number
909-949-7002
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
35512 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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