Healthcare Provider Details

I. General information

NPI: 1871945766
Provider Name (Legal Business Name): CULEBRA CHILDREN'S DENTAL ASSOCIATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2016
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
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: 956-267-8502
  • Fax: 956-267-8498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number25528
License Number StateTX

VIII. Authorized Official

Name: DR. AARON SALINAS
Title or Position: MANAGING MEMBER
Credential: DMD
Phone: 956-612-8062