| NPI | 1336604867 |
|---|---|
| Doing Business As | LONE STAR PEDIATRIC DENTAL AND BRACES |
| Entity Type | Organization |
| Authorized Contact | MARTY MONTGOMERY Dmd/Owner 512-676-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |