NPI | 1740682467 |
---|---|
Doing Business As | LONE STAR PEDIATRIC DENTAL PLLC |
Entity Type | Organization |
Authorized Contact | CLAUDIA WOOLFORD General Manager 512-221-7462 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2014-09-25 |
Last Update Date | 2014-09-25 |