Organization
REBECCA JARDINE, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA JARDINE DDS (OWNER)
(510) 414-6840
Entity
Organization
Contact information
Practice address
915 VILLAGE CTR, LAFAYETTE, CA 94549-3504
(510) 414-6840
Mailing address
75 CALIFORNIA AVE, ORINDA, CA 94563-2105
(510) 414-6840
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/22/2020
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