Individual
GRETEL PEREZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
351 W MARION AVE, PUNTA GORDA, FL 33950-4436
(941) 637-0101
Mailing address
9974 BISHOP CREEK WAY, PUNTA GORDA, FL 33950-5345
(561) 358-4802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24985
FL
Other
Enumeration date
06/17/2020
Last updated
11/09/2023
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