| NPI | 1639391550 |
|---|---|
| Professional Name | SOULAFA SUSAN BALOUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN20656) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 27643) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-07-26 |