Organization
ELGIN PEDIATRIC DENTAL PLLC
Active
Other names
Lone Star Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY MONTGOMERY DDS (DENTIST/OWNER)
(512) 676-4444
Entity
Organization
Contact information
Practice address
250 W US HIGHWAY 290 # A, ELGIN, TX 78621-3206
(512) 676-4444
Mailing address
505 E HUNTLAND DR STE 340, AUSTIN, TX 78752-3745
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24217
TX
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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