DR. Johan I Kolmodin, DMD
NPI #1497721955 in Hanahan, South Carolina
Provider Information
- NPI Number
- 1497721955
- Entity Type
- Individual
- Name
- DR. Johan I Kolmodin, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Feb 24, 2006
- Last Updated
- Feb 3, 2009
Practice Location
- Address
- 1005 TANNER FORD BLVD
- Address 2
- SUITE 102
- City
- Hanahan
- State
- South Carolina
- ZIP Code
- 29410
- Phone
- (843) 797-6287
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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