Organization
ELLIS JARDINE, DMD, PLLC
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 STE 120, BATTLE GROUND, WA 98604-4540
(360) 666-5700
(360) 666-5701
Mailing address
1401 NW 1ST ST STE 120, BATTLE GROUND, WA 98604-4540
(360) 666-5700
(360) 666-5701
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DE 60339865
WA
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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