Individual
JAYAKUMAR JAYARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MDS, MS, PHD
Contact information
Practice address
2924 BROOK RD, RICHMOND, VA 23220-1215
(804) 828-2362
(804) 827-1244
Mailing address
4537 SPRING MOSS CIR, GLEN ALLEN, VA 23060-3425
(210) 589-2808
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401417673
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/04/2020
Last updated
02/16/2022
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