MITRA BOLBOLAN MACMILLAN

CORONA, CA
NPI1497964514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: CA  42808)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Mrs. MITRA BOLBOLAN MACMILLAN D.D.S
4264 GREEN RIVER RD
CORONA, CA 92880-1669
Phone number: 951-340-0200
Mailing Address
Mrs. MITRA BOLBOLAN MACMILLAN D.D.S
4264 GREEN RIVER RD
CORONA, CA 92880-1669
Phone number: 951-340-0200
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