Soh of Missouri Samson Liu PC

NPI #1114503067 in Florissant, Missouri

Provider Information

NPI Number: 1114503067
Entity Type: Organization
Organization Name: Soh of Missouri Samson Liu PC
Subpart: Yes (part of a larger organization)
Parent Organization: SOH OF MISSOURI SAMSON LIU PC
Primary Specialty: Dentist
Enumeration Date: Mar 22, 2021
Last Updated: Jun 28, 2023

Practice Location

Address: 111 N HIGHWAY 67 ST
City: Florissant
State: Missouri
ZIP Code: 63031-5901
Phone: (636) 362-4986

Authorized Official

Name: ASHLY KRISTINE SUNSHINE
Title: CREDENTIALING SPECIALIST
Phone: (314) 413-2803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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