MARISOL BOLIVAR, DMD, MS

Dentist - Pediatric Dentistry

Active Individual
NPI: 1386991446

Practice Address

250 PASEO REYES DR
St Augustine, FL 32095

Phone: (904) 429-3387

Specialties

Specialty Code Primary License
Dentist - Pediatric Dentistry 1223P0221X Yes DN22944 (FL)

Frequently Asked Questions

NPI 1386991446 is the National Provider Identifier for MARISOL BOLIVAR, DMD, MS, a Dentist - Pediatric Dentistry provider located in St Augustine, FL. This NPI was enumerated on August 8, 2012.
MARISOL BOLIVAR, DMD, MS practices at 250 PASEO REYES DR, St Augustine, FL 32095.

Quick Facts

NPI
1386991446
Type
Individual
Enumerated
Aug 8, 2012
Last Updated
Aug 25, 2022

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