MARTIN WINATA LAKSANA

UPLAND, CA
NPI1295894061
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  35512)
Enumeration Date2006-12-07
Last Update Date2007-07-08
Business Address
Dr. MARTIN WINATA LAKSANA D.D.S.
130 S MOUNTAIN AVE #G
UPLAND, CA 91786-6268
Phone number: 909-949-7002
Mailing Address
Dr. MARTIN WINATA LAKSANA D.D.S.
130 S MOUNTAIN AVE #G
UPLAND, CA 91786-6268
Phone number: 909-949-7002
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