Provider Demographics
NPI:1487880589
Name:CABALLERO, JANE ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:ELIZABETH
Last Name:CABALLERO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4220 PHELAN RD
Mailing Address - Street 2:
Mailing Address - City:PHELAN
Mailing Address - State:CA
Mailing Address - Zip Code:92371-3901
Mailing Address - Country:US
Mailing Address - Phone:760-868-2783
Mailing Address - Fax:760-868-5783
Practice Address - Street 1:4220 PHELAN RD
Practice Address - Street 2:
Practice Address - City:PHELAN
Practice Address - State:CA
Practice Address - Zip Code:92371-3901
Practice Address - Country:US
Practice Address - Phone:760-868-2783
Practice Address - Fax:760-868-5783
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA603151223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry