| NPI | 1952604266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA M CABALLERO President 512-801-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17815) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |