Organization
SOH OF TEXAS SAMSON LIU PLLC
Active
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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