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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