Individual
MS. ELIZABETH J KRESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
W4051 COUNTY ROAD NN, ELKHORN, WI 53121-1005
(262) 741-3410
(262) 741-3757
Mailing address
PO BOX 1005, ELKHORN, WI 53121-1005
(262) 741-3410
(262) 741-3757
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6366-16
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41852800
—
WI
Enumeration date
07/18/2018
Last updated
07/18/2018
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