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Organization
COLUMBIA EBJ LLC
Active
Organization
COLUMBIA EBJ LLC
Active
Other names
Excel Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS BURKE JARDINE DMD (OWNER)
(480) 862-3185
Entity
Organization
Contact information
Practice address
1401 NW 1ST ST, BATTLE GROUND, WA 98604-4540
(360) 666-5700
(360) 666-5701
Mailing address
1401 NW 1ST ST, BATTLE GROUND, WA 98604-4540
(360) 666-5700
(360) 666-5701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
WA
1223P0700X
Prosthodontics
Primary
—
WA
Other
Enumeration date
02/10/2016
Last updated
03/07/2023
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