Craig S. Modzelewski Dmd Inc.
NPI #1114163524 in Allendale, South Carolina
Provider Information
- NPI Number
- 1114163524
- Entity Type
- Organization
- Organization Name
- Craig S. Modzelewski Dmd Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 7, 2009
- Last Updated
- Jan 7, 2009
Practice Location
- Address
- 522 MAIN ST N
- City
- Allendale
- State
- South Carolina
- ZIP Code
- 29810-3720
- Phone
- (803) 584-2105
Authorized Official
- Name
- DR. CRAIG STEVEN MODZELEWSKI, DMD
- Title
- PRESIDENT
- Phone
- (803) 584-2105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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