institution
Ellis Burke Jardine, Dmd, Pc
Prosthodontist in Vancouver, Washington
NPI 1720458359

Ellis Burke Jardine, Dmd, Pc is a Prosthodontist based in Vancouver, WA and is specialized in Prosthodontics. Ellis Burke Jardine, Dmd, Pc practices in Vancouver, WA. The NPI Number for Ellis Burke Jardine, Dmd, Pc is 1720458359 and holds a License No. 60339865 (Washington).

The current practice location address for Ellis Burke Jardine, Dmd, Pc is 406 Se 131St Ave Ste 305, Vancouver, WA and can be reached out via phone at 360-253-9792 and via fax at 360-604-5266.

Location: 406 Se 131St Ave Ste 305, Vancouver, WA, 98683-4014
institution
Provider Profile Details
NPI Number
1720458359
Provider Name
Ellis Burke Jardine, Dmd, Pc
Credential
Provider Entity Type
Organization
Address
406 Se 131St Ave Ste 305, Vancouver, WA, 98683-4014
Phone Number
360-253-9792
Fax Number
360-604-5266
Provider Enumeration Date
09/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WA 60339865 01 WA WA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
406 Se 131St Ave Ste 305
City
State
Zip
98683-4014
Phone Number
360-253-9792
Fax Number
360-604-5266
person
Provider Business Mailing Address Details
Address
406 Se 131St Ave Ste 305
City
State
Zip
98683-4014
Phone Number
360-253-9792
Fax Number
360-604-5266
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
License No.
60339865 (Washington)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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