Organization
AMAM53 PLLC
Active
Other names
Porter Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD MILLWALA DMD (PARTNER/OWNER)
(773) 732-8288
Entity
Organization
Contact information
Practice address
21693 FM 1314, PORTER, TX 77365
(773) 732-8288
Mailing address
16226 PINON VISTA DR, HOUSTON, TX 77095-7196
(773) 732-8288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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