Bolivar, Marisol

Bolivar, Marisol is an sole proprietor health care provider with primary practice located at 250 Paseo Reyes Dr , St Augustine FL 32095-8462. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Bolivar, Marisol can be contacted via phone (904) 429-3387.

Contact Information

Primary practice address
250 Paseo Reyes Dr St Augustine FL 32095-8462
Phone: (904) 429-3387
Fax: (904) 429-3888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN22944 Florida

Profile Details

NPI number 1386991446
LBN Legal business name Bolivar, Marisol
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2012
Last updated Aug 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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