Mitra Bolbolan Macmillan
ActiveCalifornia 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
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
320 Olinda Drive
Brea, CA 92823
Brea, CA 92823
Orange County