| NPI | 1437437639 |
|---|---|
| Doing Business As | LONE STAR PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARTY MONTGOMERY Owner 512-206-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24217) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2016-12-30 |