Organization
SOH OF TEXAS SPECIALTY SERVICES PLLC
Active
Parent organization
SOH OF TEXAS SPECIALTY SERVICES PLLC
Other names
Bunn Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOH OF TEXAS SPECIALTY SERVICES PLLC
Authorized official
SAMSON LIU (OWNER)
(217) 821-7960
Entity
Organization
Contact information
Practice address
7230 BRIAR PL, SAN ANTONIO, TX 78221-1600
(210) 921-9191
Mailing address
7230 BRIAR PL, SAN ANTONIO, TX 78221-1600
(210) 921-9191
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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