Dr. Mimi Theerathada is a Westminster, California based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mimi Theerathada is 56371 for Dentistry in California. Her current practice location is 9972 Bolsa Ave, 102, Westminster. Patients can reach her at 714-839-3112.
Dr. Mimi Theerathada is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Mimi Theerathada speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Mimi Theerathada
Specialization:
Dentist
Gender:
Female
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
9972 Bolsa Ave, 102, Westminster, California, 92683-6069
Phone:
714-839-3112
Fax:
714-839-3223
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1528256369
NPI Enumeration Date:
05 Oct, 2007
NPI Last Update On:
21 Feb, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mimi Theerathada are as mentioned below.
License Number
Specialization
State
Status
56371
Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mimi Theerathada such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
56371
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9972 Bolsa Ave, 102 Westminster, California
Zip:
92683-6069
Phone Number:
714-839-3112
Fax Number:
714-839-3223
Patients can reach Dr. Mimi Theerathada at 9972 Bolsa Ave, 102, Westminster, California or can call to book an appointment on 714-839-3112. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.