Organization
SOH OF MISSOURI SAMSON LIU PC
Active
Parent organization
SOH OF MISSOURI SAMSON LIU PC
Other names
Lindbergh Dental & Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOH OF MISSOURI SAMSON LIU PC
Authorized official
ASHLY KRISTINE SUNSHINE (CREDENTIALING SPECIALIST)
(314) 413-2803
Entity
Organization
Contact information
Practice address
111 N HIGHWAY 67 ST, FLORISSANT, MO 63031-5901
(636) 362-4986
Mailing address
111 N HIGHWAY 67 ST, FLORISSANT, MO 63031-5901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
06/28/2023
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