Cerezal Vergara, Gretchen

Cerezal Vergara, Gretchen is an individual health care provider with primary practice located at 2702 W Hillsborough Ave , Tampa FL 33614-6053. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Cerezal Vergara, Gretchen can be contacted via phone (773) 630-5905.

Contact Information

Primary practice address
2702 W Hillsborough Ave Tampa FL 33614-6053
Phone: (773) 630-5905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X DN25691 Florida

Profile Details

NPI number 1275157117
LBN Legal business name Cerezal Vergara, Gretchen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2020
Last updated Apr 29th, 2022 - about 3 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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