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Individual

DR. OSBORNE JEFFERSON DYKES IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
1007 RR 620 S, SUITE 201, LAKEWAY, TX 78734-5634
(512) 263-2993
Mailing address
1007 RR 620 S, SUITE 201, LAKEWAY, TX 78734-5634
(512) 633-7056
(512) 351-9829

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22118
TX

Other

Enumeration date
10/19/2007
Last updated
09/26/2008
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