Individual
DR. OFELIA MIRELA POD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1520 CARLEMONT DR, SUITE E, CRYSTAL LAKE, IL 60014-1834
(815) 444-8888
Mailing address
1624 DOGWOOD DR, CRYSTAL LAKE, IL 60014-1995
(815) 575-6305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-026884
IL
Other
Enumeration date
12/01/2006
Last updated
02/12/2015
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