Individual
DR. SHALE MELISSA NINNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2704 A 212TH AVE SE, A, SAMMAMISH, WA 98075
(425) 647-3747
Mailing address
2704 A 212TH AVE SE, A, SAMMAMISH, WA 98075
(425) 647-3747
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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