Individual
DR. GEORGE KRESOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1574 BELLA VISTA DR, ENCINITAS, CA 92024-1265
(760) 943-0307
Mailing address
1574BELLA VISTA DRIVE, ENCINITAS, CA 92024
(760) 943-0307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE004686
PA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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