Lone Star Pediatric Dental and Braces
Lone Star Pediatric Dental and Braces provides Orthodontics and Dentofacial Orthopedics Dentistry in Austin, Texas. Licensed in Texas. Registered with an NPI since 2013.
- Licensed in
- TX
- In the registry since
- 2013
Practice location Address checks out
4201 Marathon Blvd 302Austin, TX 78756-3436 Not confirmed with CMS for 12 years — call before visiting
Phone: (512) 206-2929
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 24217 (TX) |
|---|
Record details
| NPI number | 1124464813 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marty Montgomery — Owner · (512) 420-8889 |
| NPI enumerated | May 21, 2013 |
| Last updated in NPPES | December 5, 2013 |
| Mailing address | 4201 Marathon Blvd, 302, Austin, TX 78756-3436 |
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