Baloul, Soulafa Susan

Baloul, Soulafa Susan is an individual health care provider with primary practice located at 177 Tremont St , Boston MA 02111-1020. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Baloul, Soulafa Susan can be contacted via phone (617) 617-7677.

Contact Information

Primary practice address
177 Tremont St Boston MA 02111-1020
Phone: (617) 617-7677
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 27643 Texas
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN20656 Massachusetts

Profile Details

NPI number 1639391550
LBN Legal business name Baloul, Soulafa Susan
Credentials DMD, MS, DSCD
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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