Provider Demographics
NPI:1316430697
Name:NALWALA, AMMAR ABBAS (DDS)
Entity type:Individual
Prefix:
First Name:AMMAR
Middle Name:ABBAS
Last Name:NALWALA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16606 STONESIDE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-6512
Mailing Address - Country:US
Mailing Address - Phone:281-777-8995
Mailing Address - Fax:
Practice Address - Street 1:16103 W LITTLE YORK RD STE O
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6867
Practice Address - Country:US
Practice Address - Phone:281-843-8928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34135122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist