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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