Organization
LSPD AT KILLEEN, 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
1103 WEST STAN SCHLUETER LOOP SUITE B-800, KILLEEN, TX 76549
(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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