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Organization

DRIPPING SPRINGS PEDIATRIC DENTAL, PLLC

Active
Other names
Lone Star Pediatric Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MARTY MONTGOMERY DMD (OWNER)
(512) 676-4444
Entity
Organization

Contact information

Practice address
2440 E HIGHWAY 290. BUILDING C, SUITE B, DRIPPING SPRINGS, TX 78620
(512) 676-4444
Mailing address
505 E HUNTLAND DR STE 340, AUSTIN, TX 78752-3745
(512) 206-2975

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
03/14/2017
Last updated
03/14/2017
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