Organization
BRUSH 32, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STELLA M CABALLERO DDS (SECRETARY)
(512) 267-6360
Entity
Organization
Contact information
Practice address
1201 N. BELL BLVD, CEDAR PARK, TX 78613
(512) 267-6360
(512) 267-2448
Mailing address
17500 REED PARK RD, JONESTOWN, TX 78645-4487
(512) 267-6360
(512) 267-2448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17815
TX
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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