THERESIA LAKSMANA

LOS ANGELES, CA
NPI1083947121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: CA  58149)
Enumeration Date2009-09-08
Last Update Date2011-08-12
Business Address
Dr. THERESIA LAKSMANA DMD, MS
925 W 34TH ST
LOS ANGELES, CA 90089-0641
Phone number: 213-740-2805
Mailing Address
Dr. THERESIA LAKSMANA DMD, MS
925 W 34TH ST
LOS ANGELES, CA 90089-0641
Phone number: