Individual
DR. AFSHEEN MUMTAZ OMMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
370 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3512
(216) 258-6217
Mailing address
370 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3512
(216) 258-6217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029621
IL
Other
Enumeration date
07/11/2013
Last updated
06/28/2021
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