Organization
BELTON PEDIATRIC DENTAL PLLC
Active
Other names
Lone Star Pediatric Dental PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA WOOLFORD (GENERAL MANAGER)
(512) 221-7462
Entity
Organization
Contact information
Practice address
412 LAKE BELTON RD, BELTON, TX 76513
(512) 442-4338
Mailing address
412 LAKE BELTON RD, BELTON, TX 76513
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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