Individual
DR. MELANIE ANNE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(336) 716-3882
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
(505) 368-6360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-11752
NC
1223G0001X
General Practice Dentistry
DT2602
HI
Other
Enumeration date
08/10/2015
Last updated
07/20/2022
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