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 1:810 CALDWELL ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MANOR
Mailing Address - State:TX
Mailing Address - Zip Code:78653-3359
Mailing Address - Country:US
Mailing Address - Phone:512-272-8900
Mailing Address - Fax:512-272-8915
Practice Address - Street 1:810 CALDWELL ST STE 300
Practice Address - Street 2:
Practice Address - City:MANOR
Practice Address - State:TX
Practice Address - Zip Code:78653-3359
Practice Address - Country:US
Practice Address - Phone:512-272-8900
Practice Address - Fax:512-272-8915
Is Sole Proprietor?:No
Enumeration Date:2007-08-11
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17815122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist