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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THERESIA LAKSMANA, DMD, MS

Active

DR. THERESIA LAKSMANA, DMD, MS is a Periodontology healthcare provider located in LOS ANGELES, California. NPI 1083947121 is currently active in the NPPES registry. Verify at CMS.

Periodontology · LOS ANGELES, CA

Registration Details

NPI Number
1083947121
Provider Type
Individual
Gender
Female
NPI Issued
Sep 8, 2009 (16.906262052504 yrs)
Last Updated
Aug 12, 2011
License
58149 (CA)

Practice Information

Address
925 W 34TH ST
LOS ANGELES, CA, 900890641
Browse CA providers · Browse ZIP 90089
Phone
2137402805
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in LOS ANGELES, CA

Name Credential NPI
HATEM ALASSY 1669461802
DR. JEFFERY PUCHER DDS 1306882667
DR. TRACY G GOLDEN D.M.D. 1093741183
DR. MICHAEL G NEWMAN DDS 1194752071
DR. IVAN L. LAPIDUS D.D.S. 1790791739
DR. MARK B LIEBERMAN DDS 1174534788
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.