DR. Shale Melissa Ninneman, DDS

NPI #1649979212 in Sammamish, Washington

Provider Information

NPI Number: 1649979212
Entity Type: Individual
Name: DR. Shale Melissa Ninneman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DDS
Enumeration Date: Mar 2, 2023
Last Updated: Mar 2, 2023

Practice Location

Address: 2704 A 212TH AVE SE, A
City: Sammamish
State: Washington
ZIP Code: 98075
Phone: (425) 647-3747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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