MEDICARE: CULEBRA CHILDREN'S DENTAL ASSOCIATION PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	25528	TX

General Provider Information

NPI Number	:	1871945766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CULEBRA CHILDREN'S DENTAL ASSOCIATION PLLC

Provider Business Mailing Address
First Line	:	11831 CULEBRA RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-4578
Country	:	US
Telephone Number	:	956-267-8502
Fax Number	:	956-267-8498

Provider Business Practice Location Address
First Line	:	11831 CULEBRA RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-4578
Country	:	US
Telephone Number	:	210-625-5353
Fax Number	:	210-625-5354

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. AARON SALINAS
Credential	:	DMD
Telephone Number	:	956-612-8062

Provider Enumeration Date	:	07/05/2016
Last Update Date	:	12/19/2025

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