Mimi Theerathada, DMD

NPI 1528256369 · on the registry since 2007

Practice

Address: 9972 Bolsa Ave
102
Westminster, CA 92683
Phone: (714) 839-3112
Fax: (714) 839-3223
Organisation at this address: Tue Ngoc Hoang
Clearoptix Optometric Group
Nhan Dang Nguyen Dental Corporation
Mimi Theerathada Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-02-21

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