THERESIA LAKSMANA - DMD - DENTAL CORPORATION
NPI 1124428271
Dentist - Periodontics in Culver City, CA

Q: What is Theresia Laksmana - Dmd - Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since August 26, 2014

12035 LUCILE ST, CULVER CITY, CA 90230(310) 945-8382 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theresia Laksmana - Dmd - Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESIA LAKSMANA - DMD - DENTAL CORPORATION (NPI 1124428271) is a healthcare organization registered as a periodontics in Culver City, California and active in the NPI registry since August 2014. The organization lists Theresia Laksmana, President, as its authorized official.

NPPES Registry Identity

NPI1124428271

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameTHERESIA LAKSMANA - DMD - DENTAL CORPORATION

Location Address12035 LUCILE STCulver City, CA 90230-6239

Mailing Address12035 Lucile StCulver City, CA 90230-6239 · (310) 945-8382

Phone(310) 945-8382

Organization SubpartNo

Authorized OfficialTheresia LaksmanaPresident · (310) 945-8382

Enumeration DateAugust 26, 2014

✔ NPI 1124428271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 58149

Definition

That specialty 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.

12035 LUCILE ST, Culver City, CA 90230

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresia Laksmana - Dmd - Dental Corporation's NPI number?

The NPI number for Theresia Laksmana - Dmd - Dental Corporation is 1124428271. It was assigned to this organization in the NPPES registry on August 26, 2014.

Where is Theresia Laksmana - Dmd - Dental Corporation located?

Theresia Laksmana - Dmd - Dental Corporation is located at 12035 Lucile St, Culver City, CA 90230. The listed phone number is (310) 945-8382.

What is Theresia Laksmana - Dmd - Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Theresia Laksmana - Dmd - Dental Corporation was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.