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1386991446
MARISOL BOLIVAR
ST AUGUSTINE, FL
NPI
1386991446
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Former Name
MARISOL CARBONELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: FL DN22944)
Enumeration Date
2012-08-08
Last Update Date
2022-08-25
Business Address
MARISOL BOLIVAR DMD, MS
250 PASEO REYES DR
ST AUGUSTINE, FL 32095-8462
Phone number: 904-429-3387
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Mailing Address
MARISOL BOLIVAR DMD, MS
250 PASEO REYES DR
ST AUGUSTINE, FL 32095-8462
Phone number: 904-429-3387
Copy
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