| NPI | 1306412416 |
|---|---|
| Doing Business As | JESTER VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAKSHMI BALARAMAN CEO/Owner Doctor 512-966-3685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-29 |
| Last Update Date | 2021-06-03 |