Martin W. Laksana DDS INC
NPI #1932331246 in Upland, California
Provider Information
- NPI Number
- 1932331246
- Entity Type
- Organization
- Organization Name
- Martin W. Laksana DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 20, 2009
- Last Updated
- Aug 20, 2009
Practice Location
- Address
- 130 S. MOUNTAIN AVE.
- Address 2
- #G
- City
- Upland
- State
- California
- ZIP Code
- 91786-6269
- Phone
- (909) 949-7002
Authorized Official
- Name
- MARTIN W LAKSANA, DDS
- Title
- PRESIDENT
- Phone
- (909) 949-7002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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