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1083947121
THERESIA LAKSMANA
LOS ANGELES, CA
NPI
1083947121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 58149)
Enumeration Date
2009-09-08
Last Update Date
2011-08-12
Business Address
Dr. THERESIA LAKSMANA DMD, MS
925 W 34TH ST
LOS ANGELES, CA 90089-0641
Phone number: 213-740-2805
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Mailing Address
Dr. THERESIA LAKSMANA DMD, MS
925 W 34TH ST
LOS ANGELES, CA 90089-0641
Phone number:
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