Organization
EZZY OMS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD MILLWALA DMD (OWNER)
(773) 732-8288
Entity
Organization
Contact information
Practice address
11620 LOUETTA RD STE B, HOUSTON, TX 77070-1282
(773) 732-8288
Mailing address
16226 PINON VISTA DR, HOUSTON, TX 77095-7196
(773) 732-8288
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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