| Lone Star Pediatric Dental Pllc | |
|
412 Lake Belton Rd Belton TX 76513 | |
| (512) 442-4338 | |
| Not Available |
| Full Name | Lone Star Pediatric Dental Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 412 Lake Belton Rd, Belton, Texas |
| Authorized Official Name and Position | Claudia Woolford (GENERAL MANAGER) |
| Authorized Official Contact | 5122217462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Pediatric Dental Pllc 412 Lake Belton Rd Belton TX 76513 Ph: () - | Lone Star Pediatric Dental Pllc 412 Lake Belton Rd Belton TX 76513 Ph: (512) 442-4338 |
| NPI Number | 1740682467 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740682467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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