| Culebra Children's Dental Association Pllc | |
|
11831 Culebra Rd Ste 101 San Antonio TX 78253-4578 | |
| (210) 625-5353 | |
| (210) 625-5354 |
| Full Name | Culebra Children's Dental Association Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11831 Culebra Rd Ste 101, San Antonio, Texas |
| Authorized Official Name and Position | Kevin Woody (MANAGING MEMBER) |
| Authorized Official Contact | 2108457070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Culebra Children's Dental Association Pllc 7807 Mcpherson Rd Suite 205 Laredo TX 78045-2813 Ph: (956) 267-8502 | Culebra Children's Dental Association Pllc 11831 Culebra Rd Ste 101 San Antonio TX 78253-4578 Ph: (210) 625-5353 |
| NPI Number | 1871945766 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 08/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871945766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 25528 (Texas) | Primary |
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