Dr. ELLIS BURKE JARDINE D.M.D.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1922205715- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D.
- Status
- Active
Contact & Location
- Address
- 406C SE 131ST AVENUE SUITE 305, VANCOUVER, WA, 986834003
- Phone
- (360) 253-9792
Specialties & Taxonomies
Dentist, General Practice
License: AZ #7240
Dentist, Prosthodontics
License: TX #27917
Dentist, Prosthodontics
License: WA #DE 60339865
Dentist, Prosthodontics
License: TN #9441
Dentist, Oral and Maxillofacial Surgery
Primary License: WA #DE60339865