Individual provider · Type 1 NPI
Mitra Bolbolan Macmillan, D.D.S
Periodontics · Corona, CA
NPI number
1497964514
Active
Practice location
4264 Green River Rd
Corona, CA 92880-1669
Fax (951) 278-9858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 42808 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4 other providers at this address
Other periodontics providers in Corona
About NPI 1497964514
Mitra Bolbolan Macmillan, D.D.S's National Provider Identifier is 1497964514, issued on May 22, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Corona, CA. The record was last updated on Jul 8, 2007.