# AMAM53 PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Porter Smiles Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881102473
- **Authorized official:** DR. AHMAD MILLWALA DMD (PARTNER/OWNER)
- **Authorized official phone:** (773) 732-8288

## Contact information

- **Practice address:** 21693 FM 1314, PORTER, TX 77365
- **Practice address phone:** (773) 732-8288
- **Mailing address:** 16226 PINON VISTA DR, HOUSTON, TX 77095-7196
- **Mailing address phone:** (773) 732-8288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 01/17/2018
- **Last updated:** 01/17/2018