Individual
DR. SAMSON LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
810 O'FALLON RD, WELDON SPRINGS, MO 63304-6330
(636) 244-4052
(636) 244-3850
Mailing address
1422 ELBRIDGE PAYNE RD, STE 240, CHESTERFIELD, MO 63017-1138
(636) 362-4986
(636) 778-1344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
200164557
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405172701
—
MO
Enumeration date
02/05/2007
Last updated
02/20/2020
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