Dr Theresia Laksmana, DMD, MS in Los Angeles, CA - Dentist

Dr Theresia Laksmana, DMD, MS is a Dentist - Periodontics based in Los Angeles, California. Dr Theresia Laksmana is licensed to practice in California (license number 58149) and her current practice location is 925 W 34th St, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (213) 740-2805.

NPI number for Dr Theresia Laksmana is 1083947121 and her current mailing address is 925 W 34th St, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083947121.

Contact Information

	Dr Theresia Laksmana, DMD, MS
	925 W 34th St, Los Angeles, CA 90089-0641
	(213) 740-2805
	Not Available

Healthcare Provider's Profile

Full Name	Dr Theresia Laksmana
Gender	Female
Speciality	Dentist - Periodontics
Location	925 W 34th St, Los Angeles, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1083947121
Provider Enumeration Date: 09/08/2009
Last Update Date: 08/12/2011

Medical Identifiers

Medical identifiers for Dr Theresia Laksmana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083947121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	58149 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theresia Laksmana is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Theresia Laksmana, DMD, MS 925 W 34th St, Los Angeles, CA 90089-0641 Ph: () -	Dr Theresia Laksmana, DMD, MS 925 W 34th St, Los Angeles, CA 90089-0641 Ph: (213) 740-2805

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Dentist in Los Angeles, CA

Dr. Kyung A Lim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 827 S Berendo St Apt 202, Los Angeles, CA 90005 Phone: 213-219-2530
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Dr. Clarice Law Eyre, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095 Phone: 310-794-5750
Dr. Arjang Vahidnia, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7162 Beverly Blvd, #543, Los Angeles, CA 90036 Phone: 310-443-3030
Dr. Adrian Sanchez, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6114 York Blvd, Suite C, Los Angeles, CA 90042 Phone: 323-255-6698
Dr. Bindu Vasudevan Pillai, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5207 Whittier Blvd, Los Angeles, CA 90022 Phone: 323-269-0266

Dr Theresia Laksmana, DMD, MS - Dentist in Los Angeles, CA