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Individual
DR. SHANE T NESS
Active
Individual
DR. SHANE T NESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010561
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00010561
STATE LICENSE NUMBER
WA
Enumeration date
08/31/2006
Last updated
03/07/2023
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