Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mitra Bolbolan Macmillan, DDS

Individual provider Periodontics · NPI 1497964514

Mrs. Mitra Bolbolan Macmillan, DDS is a Periodontics in Corona, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

4264 Green River Rd
Corona, CA 92880-1669
Phone: (951) 340-0200
Fax: (951) 278-9858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 42808 (CA)

Record details

NPI number1497964514
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4264 Green River Rd, Corona, CA 92880-1669

Other providers in Corona