Organization
SOH OF MISSOURI SAMSON LIU PC
Active
Other names
SOHDental
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLY KRISTINE SUNSHINE (CREDENTIALING SPECIALIST)
(314) 413-2803
Entity
Organization
Contact information
Practice address
810 OFALLON RD STE 80, WELDON SPRING, MO 63304-8107
(636) 244-4052
Mailing address
1422 ELBRIDGE PAYNE RD, STE 240, CHESTERFIELD, MO 63017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2000164557
MO
Other
Enumeration date
02/28/2018
Last updated
09/02/2025
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