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Martin Laksana, D.D.S
NPI 1295894061 · on the registry since 2006 · sole proprietor
Practice
- Address
- 130 S Mountain Ave
#G
Upland, CA 91786 - Phone
- (909) 949-7002
- Organisation at this address
- Martin W. Laksana Dds Inc
Dental Practice Of A.F. ConcepcionInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California