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Organization
ELLIS BURKE JARDINE, DMD, PC
Active
Organization
ELLIS BURKE JARDINE, DMD, PC
Active
Other names
Advanced Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS BURKE JARDINE DMD (OWNER)
(360) 253-9792
Entity
Organization
Contact information
Practice address
406 SE 131ST AVE STE 305, VANCOUVER, WA 98683-4014
(360) 253-9792
(360) 604-5266
Mailing address
406 SE 131ST AVE STE 305, VANCOUVER, WA 98683-4014
(360) 253-9792
(360) 604-5266
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
60339865
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA 60339865
WA DENTAL LICENSE
WA
Enumeration date
09/24/2015
Last updated
03/07/2023
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