Provider Demographics
NPI:1730657313
Name:CULEBRA MEADOWS DENTAL PARTNERS PLLC
Entity Type:Organization
Organization Name:CULEBRA MEADOWS DENTAL PARTNERS PLLC
Other - Org Name:RISAS DENTAL AND BRACES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:BOYLE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-339-4800
Mailing Address - Street 1:3030 N CENTRAL AVE STE 1500
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2750
Mailing Address - Country:US
Mailing Address - Phone:480-339-4800
Mailing Address - Fax:
Practice Address - Street 1:7895 CULEBRA RD.
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-686-0539
Practice Address - Fax:210-686-0537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty