Individual
DR. JUDSON RUDOLPH WYNKOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1583 E LIVINGSTON AVE, COLUMBUS, OH 43205-2930
(614) 252-0936
Mailing address
1583E LIVINGSTON AVE, COLUMBUS, OH 43205-2930
(614) 252-0936
(614) 252-7260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-01-7000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0533266
—
OH
Enumeration date
02/12/2007
Last updated
12/22/2015
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