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Organization

LAKEWAY PEDIATRIC DENTAL, PLLC

Active
Other names
Lone Star Pediatric Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTY MONTGOMERY DMD (OWNER)
(512) 206-2975
Entity
Organization

Contact information

Practice address
14058 BEE CAVES PKWY, BLDG. D. SUITE B, AUSTIN, TX 78738
(512) 402-9996
(512) 402-9986
Mailing address
505 E HUNTLAND DR., #340, AUSTIN, TX 78752
(512) 206-2975
(512) 371-8779

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
04/05/2011
Last updated
12/30/2016
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