Organization
JESTER DENTAL PC
Active
Other names
Jester Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMI BALARAMAN DDS (CEO/OWNER DOCTOR)
(512) 966-3685
Entity
Organization
Contact information
Practice address
6507 JESTER BLVD STE 303, AUSTIN, TX 78750-8357
(512) 418-9150
Mailing address
6507 JESTER BLVD STE 303, AUSTIN, TX 78750-8357
(512) 418-9150
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2021
Last updated
06/03/2021
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