| NPI | 1962795609 |
|---|---|
| Former Name | KINNERET ALBALAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 26487) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.024014) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2014-09-17 |