# DR. AHMAD ALI MILLWALA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053579771
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 054876 | NY | — |
| 1223G0001X | General Practice Dentistry | 8611 | KY | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 30.023877 | OH | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 30759 | TX | Yes |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 04/04/2022