Organization · Type 2 NPI
Theresia Laksmana - DMD - Dental Corporation
Periodontics · Culver City, CA
NPI number
1124428271
Active
Practice location
12035 Lucile St
Culver City, CA 90230-6239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 58149 (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.
About NPI 1124428271
Theresia Laksmana - DMD - Dental Corporation's National Provider Identifier is 1124428271, issued on Aug 26, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Culver City, CA. The record was last updated on Aug 26, 2014.