| NPI | 1275916348 |
|---|---|
| Former Name | FATEMEH BALAJELINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 100488) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 31158) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-04-27 |