Westlake Smile Studio, Dental Practice of Mimi Theerathada

License

Licensed by

Dental Board of California

License number

13650

Status

Expired (Delinquent)

First issued

July 21, 2017

Expired

December 31, 2022

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Theerathada Mimi (56371)

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