| NPI | 1639610421 |
|---|---|
| Doing Business As | LONE STAR PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARTY MONTGOMERY Owner 512-676-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |