| 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 | 20027 (Ohio) | Secondary |
| 1223G0001X | Dentist - General Practice | 19986 (Ohio) | Primary |