Organization
E BURKE JARDINE, DMD, PC
Active
Other names
Copper Canyon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TARA EAGAR (FRONT OFFICE MANAGER)
(480) 553-9909
Entity
Organization
Contact information
Practice address
2680 S VAL VISTA DR STE 125, GILBERT, AZ 85295-2154
(480) 553-9909
(480) 553-9905
Mailing address
2680 S VAL VISTA DR STE 125, GILBERT, AZ 85295-2154
(480) 553-9909
(480) 553-9905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7240
AZ
122300000X
Dentist
D7758
AZ
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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