Brian L. Kresevic, Dds, Llc | |
184 S Broadway Geneva OH 44041-1805 | |
(440) 466-4884 | |
(440) 466-0636 |
Full Name | Brian L. Kresevic, Dds, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 184 S Broadway, Geneva, Ohio |
Authorized Official Name and Position | Brian Ludwig Kresevic (PRESIDENT) |
Authorized Official Contact | 4404664884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brian L. Kresevic, Dds, Llc 184 S Broadway Geneva OH 44041-1805 Ph: (440) 466-4884 | Brian L. Kresevic, Dds, Llc 184 S Broadway Geneva OH 44041-1805 Ph: (440) 466-4884 |
NPI Number | 1235313339 |
---|---|
Provider Enumeration Date | 12/26/2007 |
Last Update Date | 12/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235313339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 19986 (Ohio) | Primary |
1223G0001X | Dentist - General Practice | 20027 (Ohio) | Secondary |