Mimi Theerathada Dental Corporation
Mimi Theerathada Dental Corporation is a General Practice Dentistry in Westminster, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
9972 Bolsa Ave 102Westminster, CA 92683-6069
Phone: (714) 839-3112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 56371 (CA) |
|---|
Record details
| NPI number | 1417483371 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mimi Theerathada — Doctor · (714) 839-3112 |
| NPI enumerated | May 11, 2017 |
| Last updated in NPPES | May 11, 2017 |
| Mailing address | 9972 Bolsa Ave, 102, Westminster, CA 92683-6069 |
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