Individual provider · Type 1 NPI

Theresia Laksmana, DMD, MS

Periodontics · Los Angeles, CA

NPI number 1083947121 Active

Practice location

925 W 34th St
Los Angeles, CA 90089-0641

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X58149 (CA)

Periodontics: 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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About NPI 1083947121

Theresia Laksmana, DMD, MS's National Provider Identifier is 1083947121, issued on Sep 8, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 12, 2011.