Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mimi Theerathada, DMD

Individual provider Dentist · NPI 1528256369

Dr. Mimi Theerathada, DMD is a Dentist in Westminster, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

9972 Bolsa Ave 102
Westminster, CA 92683-6069
Phone: (714) 839-3112
Fax: (714) 839-3223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 56371 (CA)

Record details

NPI number1528256369
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 5, 2007
Last updated in NPPESFebruary 21, 2017
Mailing address9972 Bolsa Ave, 102, Westminster, CA 92683-6069

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