Macmillan, Mitra Bolbolan
Macmillan, Mitra Bolbolan is an sole proprietor health care provider with primary practice located at 4264 Green River Rd , Corona CA 92880-1669. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Macmillan, Mitra Bolbolan can be contacted via phone (951) 340-0200.Contact Information
Primary practice address
4264 Green River Rd
Corona CA 92880-1669
Phone: (951) 340-0200
Fax: (951) 278-9858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 42808 | California |
Profile Details
| NPI number | 1497964514 |
|---|---|
| LBN Legal business name | Macmillan, Mitra Bolbolan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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