| Lone Star Pediatric Dental | |
|
1103 West Stan Schlueter Loop Suite B-800 Killeen TX 76549 | |
| (512) 676-4444 | |
| Not Available |
| Full Name | Lone Star Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1103 West Stan Schlueter Loop Suite B-800, Killeen, Texas |
| Authorized Official Name and Position | Marty Montgomery (OWNER) |
| Authorized Official Contact | 5126764444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Pediatric Dental 505 E Huntland Dr Ste 340 Austin TX 78752-3745 Ph: (512) 206-2975 | Lone Star Pediatric Dental 1103 West Stan Schlueter Loop Suite B-800 Killeen TX 76549 Ph: (512) 676-4444 |
| NPI Number | 1740721471 |
|---|---|
| Provider Enumeration Date | 03/14/2017 |
| Last Update Date | 03/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740721471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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