MARISOL BOLIVAR

ST AUGUSTINE, FL
NPI1386991446
Former NameMARISOL CARBONELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: FL  DN22944)
Enumeration Date2012-08-08
Last Update Date2022-08-25
Business Address
MARISOL BOLIVAR DMD, MS
250 PASEO REYES DR
ST AUGUSTINE, FL 32095-8462
Phone number: 904-429-3387
Mailing Address
MARISOL BOLIVAR DMD, MS
250 PASEO REYES DR
ST AUGUSTINE, FL 32095-8462
Phone number: 904-429-3387