Individual
JOHN R UPDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.D
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
07/08/2007
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