Individual
AMATULLAH MAMAJIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3108 S 31ST ST UNIT 3108, TEMPLE, TX 76502-1803
(254) 267-2240
Mailing address
1124 W AVENUE O APT 1204, BELTON, TX 76513-4676
(313) 804-1261
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39960
TX
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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