Organization
AUSTIN CHILDRENS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R UPDYKE D.D.S., M.S.D. (OWNER)
(512) 682-5437
Entity
Organization
Contact information
Practice address
12501 HYMEADOW DR STE 1A, AUSTIN, TX 78750-1831
(512) 682-5437
(512) 258-1615
Mailing address
12501 HYMEADOW DR STE 1A, AUSTIN, TX 78750-1831
(512) 682-5437
(512) 258-1615
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10843
TX
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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