Theresia Laksmana - Dmd - Dental Corporation
Periodontology Clinic
12035 Lucile St, Culver City
California, 90230-6239
310-945-8382 Maps & DirectionsTheresia Laksmana - Dmd - Dental Corporation is a Periodontology Clinic in Culver City, California. It is located at 12035 Lucile St, Culver City, CA and its contact number is 310-945-8382. The authorized person for Theresia Laksmana - Dmd - Dental Corporation is Theresia Laksmana
who is President of the clinic and their contact number is 310-945-8382. The primary license number for Theresia Laksmana - Dmd - Dental Corporation is 58149 (Periodontics) in California.
Theresia Laksmana - Dmd - Dental Corporation Clinic is specialized in that branch 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.
Complete Clinic Profile:
Theresia Laksmana - Dmd - Dental Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Theresia Laksmana - Dmd - Dental Corporation |
| Specialization: | Periodontology |
| Clinic Address: | 12035 Lucile St, Culver City,
California, 90230-6239 |
| Phone: | 310-945-8382 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Theresia Laksmana |
| Position: | President |
| Contact Number: | 310-945-8382 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Theresia Laksmana - Dmd - Dental Corporation clinic are as mentioned below.
| NPI Number: | 1124428271 |
| NPI Enumeration Date: | 26 Aug, 2014 |
| NPI Last Update On: | 26 Aug, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theresia Laksmana - Dmd - Dental Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Periodontics | 58149 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Theresia Laksmana - Dmd - Dental Corporation
12035 Lucile St,
Culver City, California |
| Zip: | 90230-6239 |
| Phone Number: | 310-945-8382 |
Patients can reach Theresia Laksmana - Dmd - Dental Corporation at
12035 Lucile St, Culver City, California or can
call to book an appointment on 310-945-8382.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.