Individual provider · Type 1 NPI

Martin Winata Laksana, DDS

General Practice Dentistry · Upland, CA

NPI number 1295894061 Active

Practice location

130 S Mountain Ave, #G
Upland, CA 91786-6268

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X35512 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1295894061

Martin Winata Laksana, DDS's National Provider Identifier is 1295894061, issued on Dec 7, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Upland, CA. The record was last updated on Jul 8, 2007.