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Organization
SOH OF TEXAS SAMSON LIU PLLC
Active
Organization
SOH OF TEXAS SAMSON LIU PLLC
Active
Parent organization
SOH OF TEXAS SAMSON LIU PLLC
Other names
MG Family Dentistry Desoto - GROUP NPI
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOH OF TEXAS SAMSON LIU PLLC
Authorized official
ASHLY SUNSHINE (CREDENTIALING SPECIALIST)
(314) 413-2803
Entity
Organization
Contact information
Practice address
116 W PARKERVILLE RD STE 112240, DESOTO, TX 75115-8002
(469) 643-3422
Mailing address
1190 MERAMEC STATION RD STE 110, BALLWIN, MO 63021-6902
(636) 362-4986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
09/28/2026
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