Healthcare Provider Details

I. General information

NPI: 1730473463
Provider Name (Legal Business Name): AARON SALINAS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2011
Last Update Date: 11/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11831 CULEBRA RD STE 101
SAN ANTONIO TX
78253-4578
US

IV. Provider business mailing address

11831 CULEBRA RD STE 101
SAN ANTONIO TX
78253-4578
US

V. Phone/Fax

Practice location:
  • Phone: 210-625-5353
  • Fax: 210-625-5354
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number26554
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: