Individual
GRETCHEN PEREZ MAYEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 NOLTE RD, SAINT CLOUD, FL 34772-8763
(321) 384-6407
Mailing address
2275 NOLTE RD, SAINT CLOUD, FL 34772-8763
(321) 384-6407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32147
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2024
Last updated
08/14/2026
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