Organization
SOH OF TEXAS SAMSON LIU PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLY SUNSHINE (CREDENTIALING SPECIALIST)
(314) 413-2803
Entity
Organization
Contact information
Practice address
116 W PARKERVILLE RD STE 112240, DESOTO, TX 75115-8002
(469) 643-3422
Mailing address
1422 ELBRIDGE PAYNE RD STE 240, CHESTERFIELD, MO 63017-8544
(636) 362-4986
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
06/14/2024
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