Theresia Laksmana - DMD - Dental Corporation
Theresia Laksmana - DMD - Dental Corporation is a Periodontics in Culver City, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
12035 Lucile StCulver City, CA 90230-6239
Phone: (310) 945-8382
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 58149 (CA) |
|---|
Record details
| NPI number | 1124428271 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theresia Laksmana — President · (310) 945-8382 |
| NPI enumerated | August 26, 2014 |
| Last updated in NPPES | August 26, 2014 |
| Mailing address | 12035 Lucile St, Culver City, CA 90230-6239 |
Other providers in Culver City
-
Dr. Allison Shelby Yen, DDS, MS
7709 Hannum Ave, Culver City, CA 90230-6164 · (630) 596-7235