Organization
BRIAN L. KRESEVIC, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LUDWIG KRESEVIC DDS (PRESIDENT)
(440) 466-4884
Entity
Organization
Contact information
Practice address
184 S BROADWAY, GENEVA, OH 44041-1805
(440) 466-4884
(440) 466-0636
Mailing address
184 S BROADWAY, GENEVA, OH 44041-1805
(440) 466-4884
(440) 466-0636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19986
OH
1223G0001X
General Practice Dentistry
20027
OH
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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