| NPI | 1093729923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R UPDYKE Owner 512-682-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 10843) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |