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Organization

TOWNE CENTRE DENTAL CARE

Active
Parent organization
SOH OF MISSOURI SAMSON LIU PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOH OF MISSOURI SAMSON LIU PC
Authorized official
MR. RAYMOND WEBER (REGIONAL SUPPORT SPECIALIST)
(314) 753-8154
Entity
Organization

Contact information

Practice address
132 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1230
(636) 733-2363
Mailing address
132 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1230
(636) 733-2363

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MO

Other

Enumeration date
04/02/2018
Last updated
04/02/2018
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