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Organization

SHOEMAKER DENTAL

Active
Other names
James G Sousoulas DDS
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE CECILE CHURINETZ DDS (PRESIDENT)
(901) 692-5826
Entity
Organization

Contact information

Practice address
6244 POPLAR AVE STE 100, MEMPHIS, TN 38119-4729
(901) 682-5826
(901) 761-5674
Mailing address
6244 POPLAR AVE STE 100, MEMPHIS, TN 38119-4729
(901) 682-5826
(901) 761-5674

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/28/2020
Last updated
12/28/2020
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