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Organization

SOH OF MISSOURI SAMSON LIU PC

Active
Other names
Plaza Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLY SUNSHINE (VENDOR RELATION MANAGER)
(314) 413-2803
Entity
Organization

Contact information

Practice address
105 N KEENE ST STE 100, COLUMBIA, MO 65201-8131
(573) 817-2222
Mailing address
303 N KEENE ST # 202-210, COLUMBIA, MO 65201-8050

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/19/2019
Last updated
05/09/2023
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