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MIMI THEERATHADA DENTAL CORPORATION
NPI 1417483371
Dentist - General Practice in Westminster, CA

Active since May 11, 2017
9972 BOLSA AVE, 102, WESTMINSTER, CA 92683(714) 839-3112 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mimi Theerathada Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIMI THEERATHADA DENTAL CORPORATION (NPI 1417483371) is a healthcare organization registered as a general practice in Westminster, California and active in the NPI registry since May 2017. The organization lists Mimi Theerathada, Doctor, as its authorized official.

NPPES Registry Identity

NPI1417483371
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMIMI THEERATHADA DENTAL CORPORATION
Location Address9972 BOLSA AVE, 102Westminster, CA 92683-6069
Mailing Address9972 Bolsa Ave, 102Westminster, CA 92683-6069 · (714) 839-3112
Phone(714) 839-3112
Organization SubpartNo
Authorized OfficialMimi TheerathadaDoctor · (714) 839-3112
Enumeration DateMay 11, 2017
✔ NPI 1417483371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 56371
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9972 BOLSA AVE, Westminster, CA 92683
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MIMI THEERATHADA DMD
Dentist
9972 BOLSA AVE, 102
WESTMINSTER, CA 92683
Orange County (714) 839-3112
DR. CHINH QUOC NGUYEN D.D.S.
Dentist
9972 BOLSA AVE, SUITE 102
WESTMINSTER, CA 92683
Orange County (714) 839-3112
DR. JOHNATHAN ANDREW VU DMD
Dentist (General Practice)
9972 BOLSA AVE, SUITE #102
WESTMINSTER, CA 92683
Orange County (714) 839-3112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mimi Theerathada Dental Corporation's NPI number?

The NPI number for Mimi Theerathada Dental Corporation is 1417483371. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Mimi Theerathada Dental Corporation located?

Mimi Theerathada Dental Corporation is located at 9972 Bolsa Ave 102, Westminster, CA 92683. The listed phone number is (714) 839-3112.

What is Mimi Theerathada Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mimi Theerathada Dental Corporation was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.