License Directory

Mitra Bolbolan Macmillan

Active

California license 42808

License

Licensed by
Dental Board of California
License number
42808
Status
Active (Current)
First issued
July 26, 1995
Expires
June 30, 2028
License holder
Mitra Bolbolan Macmillan
Entity type
Individual

Classifications

More from the license record

License type code
4401

Contact

320 Olinda Drive
Brea, CA 92823
Orange County