Caballero, LLC

NPI #1578967857 in Fairfax, Virginia

Provider Information

NPI Number: 1578967857
Entity Type: Organization
Organization Name: Caballero, LLC
Primary Specialty: Dentist
Enumeration Date: Oct 16, 2014
Last Updated: Jul 7, 2016

Practice Location

Address: 11211 WAPLES MILL RD
Address 2: SUITE 300
City: Fairfax
State: Virginia
ZIP Code: 22030-7406
Phone: (703) 865-7622

Authorized Official

Name: DR. GIOVANNI CABALLERO, DDS
Title: DENTIST/ OWNER
Phone: (703) 865-7622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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