Mimi Theerathada
ActiveCalifornia license 56371
License
- Licensed by
- Dental Board of California
- License number
- 56371
- Status
- Active (Current)
- First issued
- September 10, 2007
- Expires
- December 31, 2026
- License holder
- Mimi Theerathada
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Other California licenses under this name
-
CA
ActiveWestlake Village, CAExpires Dec 31, 2026
Contact
960 S. Westlake Blvd
204
Westlake Village, CA 91361
204
Westlake Village, CA 91361
Ventura County