Theresia 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.