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11143 Harlem Road Suite 470 Richmond TX 77406 | |
| (713) 581-1919 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 11143 Harlem Road, Richmond, Texas |
| Authorized Official Name and Position | Ahmad Millwala (OWNER) |
| Authorized Official Contact | 7737328288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16226 Pinon Vista Dr Houston TX 77095-7196 Ph: (773) 732-8288 | 11143 Harlem Road Suite 470 Richmond TX 77406 Ph: (713) 581-1919 |
| NPI Number | 1972246056 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972246056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
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