Organization
CENTRAL AUSTIN 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
1015 WEST 34TH ST., AUSTIN, TX 78705
(512) 206-2929
(512) 206-2920
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
24217
TX
Other
Enumeration date
07/22/2011
Last updated
12/30/2016
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