Organization
CRAIG S. MODZELEWSKI DMD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG STEVEN MODZELEWSKI DMD (PRESIDENT)
(803) 584-2105
Entity
Organization
Contact information
Practice address
522 MAIN ST N, ALLENDALE, SC 29810-3720
(803) 584-2105
(803) 584-5757
Mailing address
522 MAIN ST N, ALLENDALE, SC 29810-3720
(803) 584-2105
(803) 584-5757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3892
SC
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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