Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Martin Winata Laksana, DDS

Individual provider General Practice Dentistry · NPI 1295894061

Dr. Martin Winata Laksana, DDS is a General Practice Dentistry in Upland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

130 S Mountain Ave #G
Upland, CA 91786-6268
Phone: (909) 949-7002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 35512 (CA)

Record details

NPI number1295894061
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 7, 2006
Last updated in NPPESJuly 8, 2007

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