| NPI | 1811343718 |
|---|---|
| Doing Business As | LONE STAR PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARTY MONTGOMERY Dentist/Owner 512-676-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |