Kyle Pediatric Dental

NPI #1679975932 in Kyle, Texas

Provider Information

NPI Number
1679975932
Entity Type
Organization
Organization Name
Kyle Pediatric Dental
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Sep 18, 2014
Last Updated
Sep 18, 2014

Practice Location

Address
575 E FM 150
Address 2
SUITE P
City
Kyle
State
Texas
ZIP Code
78640-6200
Phone
(512) 442-4338

Authorized Official

Name
MARTY MONTGOMERY, D.M.D.
Title
PRESIDENT
Phone
(512) 574-6923

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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