Organization
SOH OF ARKANSAS PLLC SAMSON LIU MBR
Active
Parent organization
SOH OF ARKANSAS PLLC SAMSON LIU PLLC
Other names
Marcus Black DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOH OF ARKANSAS PLLC SAMSON LIU PLLC
Authorized official
RAY WEBER (SUPPORT SPECIALIST)
(314) 753-8154
Entity
Organization
Contact information
Practice address
2109 S 54TH ST, ROGERS, AR 72758-8169
(479) 464-0900
Mailing address
1422 ELBRIDGE PAYNE RD STE 240, CHESTERFIELD, MO 63017-8544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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