Individual
DR. CARLOS OMAR CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S,M.S.D
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4670
(617) 638-5322
Mailing address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4670
(617) 638-5322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9979
MA
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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