Organization
CHILDREN'S DENTAL RANCH OF NEW BRAUNFELS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY MONTGOMERY DMD (OWNER/DOCTOR)
(512) 206-2975
Entity
Organization
Contact information
Practice address
1187 WEST COUNTY LINE RD, SUITE 11B, NEW BRAUNFELS, TX 78130
(512) 206-2975
Mailing address
505 E HUNTLAND DR. #340, AUSTIN, TX 78752
(512) 206-2975
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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