Individual provider · Type 1 NPI
Marisol Bolivar, DMD, MS
Pediatric Dentistry · St. Augustine, FL
NPI number
1386991446
Active
Practice location
250 Paseo Reyes Dr
St. Augustine, FL 32095-8462
Fax (904) 429-3888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DN22944 (FL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in St. Augustine
About NPI 1386991446
Marisol Bolivar, DMD, MS's National Provider Identifier is 1386991446, issued on Aug 8, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 25, 2022.