Individual
DR. MARIO JAVIER CABALLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1389 S. PATRICK DRIVE (BUILDING 1371), PATRICK AIR FORCE BASE, FL 32925-3607
(305) 446-5676
(305) 446-5265
Mailing address
1389 S. PATRICK DRIVE (BUILDING 1371), PATRICK AIR FORCE BASE, FL 32925-3607
(305) 446-5676
(305) 446-5265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11572
FL
1223G0001X
General Practice Dentistry
DN-11572
FL
Other
Enumeration date
10/04/2006
Last updated
09/07/2011
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