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1528256369
MIMI THEERATHADA
WESTMINSTER, CA
NPI
1528256369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 56371)
Enumeration Date
2007-10-05
Last Update Date
2017-02-21
Business Address
Dr. MIMI THEERATHADA DMD
9972 BOLSA AVE 102
WESTMINSTER, CA 92683-6069
Phone number: 714-839-3112
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Mailing Address
Dr. MIMI THEERATHADA DMD
9972 BOLSA AVE 102
WESTMINSTER, CA 92683-6069
Phone number: 714-839-3112
Copy
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