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Individual

DR. SHANE T NESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
23515 NE NOVELTY HILL RD # 206, REDMOND, WA 98053-1996
(425) 898-8699
(425) 898-1310
Mailing address
23515 NE NOVELTY HILL RD # 206, REDMOND, WA 98053-1996
(425) 898-8699
(425) 898-1310

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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