| NPI | 1831558907 |
|---|---|
| Doing Business As | EXCEL DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELLIS BURKE JARDINE Owner 480-862-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WA DE 60339865) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |