Ellis Jardine, Dmd, Pllc
NPI #1831558907 in Battle Ground, Washington
Provider Information
- NPI Number
- 1831558907
- Entity Type
- Organization
- Organization Name
- Ellis Jardine, Dmd, Pllc
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Feb 18, 2016
- Last Updated
- Feb 18, 2016
Practice Location
- Address
- 1401 NW 1ST ST STE 120
- City
- Battle Ground
- State
- Washington
- ZIP Code
- 98604-4540
- Phone
- (360) 666-5700
Authorized Official
- Name
- DR. ELLIS BURKE JARDINE, DMD
- Title
- OWNER
- Phone
- (480) 862-3185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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