| NPI | 1992392708 |
|---|---|
| Former Legal Business Name | JAMES G SOUSOULAS DDS |
| Entity Type | Organization |
| Authorized Contact | MELANIE CECILE CHURINETZ President 901-692-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2020-12-28 |