| NPI | 1215280557 |
|---|---|
| Doing Business As | LONE STAR PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARTY MONTGOMERY President 512-574-6923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24217) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |