# CULEBRA FAMILY DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669155214
- **Authorized official:** ESHA S SHAH DDS (OWNER/ DENTIST)
- **Authorized official phone:** (210) 787-3301

## Contact information

- **Practice address:** 14124 CULEBRA RD, SUITE 113, SAN ANTONIO, TX 78254
- **Practice address phone:** (210) 787-3301
- **Practice address fax:** (210) 787-3304
- **Mailing address:** 19434 GRAN ROBLE, SAN ANTONIO, TX 78258-3332
- **Mailing address phone:** (213) 440-2132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2023
- **Last updated:** 08/10/2023