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Gretchen Cerezal Vergara, DMD
Pediatric Dentist in Tampa, Florida
NPI 1275157117

Gretchen Cerezal Vergara is a Pediatric Dentist based in Tampa, FL and is specialized in Pediatric Dentistry. Gretchen Cerezal Vergara practices in Tampa, FL and has the professional credentials of DMD. The NPI Number for Gretchen Cerezal Vergara is 1275157117 and holds a License No. (Florida).

The current practice location address for Gretchen Cerezal Vergara is 2702 W Hillsborough Ave, Tampa, FL and can be reached out via phone at 773-630-5905.

Location: 2702 W Hillsborough Ave, Tampa, FL, 33614-6053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275157117
Provider Name
Gretchen Cerezal Vergara
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2702 W Hillsborough Ave, Tampa, FL, 33614-6053
Phone Number
773-630-5905
Fax Number
Provider Enumeration Date
06/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2702 W Hillsborough Ave
City
Tampa
State
Florida
Zip
33614-6053
Phone Number
773-630-5905
Fax Number
person
Provider Business Mailing Address Details
Address
2702 W Hillsborough Ave
City
Tampa
State
Florida
Zip
33614-6053
Phone Number
773-630-5905
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN25691 (Florida)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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