Individual
MS. SHANNON RENAE REINEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.,B.S.H.M.
Contact information
Practice address
WHITSIDE DENTAL CLINIC, BUILDING 602 WARRIOR ROAD, FORT RILEY, KS 66442
(785) 240-7410
Mailing address
2809 BROOKVILLE DR, MANHATTAN, KS 66502-8437
(308) 370-1599
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2516
KS
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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