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Dr. Shale Melissa Ninneman, DDS
Student in an Organized Health Care Education/Training Program in Sammamish, Washington
NPI 1649979212

Shale Melissa Ninneman is a Student in an Organized Health Care Education/Training Program based in Sammamish, WA. Shale Melissa Ninneman practices in Sammamish, WA and has the professional credentials of DDS. The NPI Number for Shale Melissa Ninneman is 1649979212 and holds a License No. (Washington).

The current practice location address for Shale Melissa Ninneman is 2704 A 212Th Ave Se, A, Sammamish, WA and can be reached out via phone at 425-647-3747.

Location: 2704 A 212Th Ave Se, A, Sammamish, WA, 98075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649979212
Provider Name
Shale Melissa Ninneman
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2704 A 212Th Ave Se, A, Sammamish, WA, 98075
Phone Number
425-647-3747
Fax Number
Provider Enumeration Date
03/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2704 A 212Th Ave Se, A
City
Sammamish
State
Washington
Zip
98075
Phone Number
425-647-3747
Fax Number
person
Provider Business Mailing Address Details
Address
2704 A 212Th Ave Se, A
City
Sammamish
State
Washington
Zip
98075
Phone Number
425-647-3747
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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