Provider Demographics
NPI:1083806293
Name:CABALLERO, STELLA MARIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:STELLA
Middle Name:MARIS
Last Name:CABALLERO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 NORTH BELL BLVD.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613
Mailing Address - Country:US
Mailing Address - Phone:512-801-0144
Mailing Address - Fax:
Practice Address - Street 1:1201 NORTH BELL BLVD.
Practice Address - Street 2:SUITE 102
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613
Practice Address - Country:US
Practice Address - Phone:512-801-0144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-11
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17815122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist