Organization
SOH OF MISSOURI SAMSON LIU PC
Active
Parent organization
SOH OF MISSOURI SAMSON LIU PC
Other names
Weldon Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOH OF MISSOURI SAMSON LIU PC
Authorized official
SAMSON LIU (CEO)
(217) 821-7960
Entity
Organization
Contact information
Practice address
810 OFALLON RD STE 70, WELDON SPRING, MO 63304-8107
(636) 244-4052
Mailing address
810 OFALLON RD STE 70, WELDON SPRING, MO 63304-8107
(636) 244-4052
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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