Individual
GRETTEL DIAZ APEZTEGUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 KINGS LAKE BLVD, NAPLES, FL 34112-5306
(786) 719-0802
Mailing address
1400 NW 12TH AVE # 2005, MIAMI, FL 33136-1003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN30812
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2023
Last updated
07/28/2025
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