Julio Miguel Bolivar, DDS Valid NPI
Individual provider · General Practice Dentistry · Loma Linda, CA
- NPI
- 1962239772
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 110756 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2024-09-16
- Last updated
- 2024-09-16
Practice location
24671 Alamitos Dr
Loma Linda, CA 92354-2701
(703) 371-3892