Craig Steven Modzelewski, D.M.D. Valid NPI
Individual provider · General Practice Dentistry · Allendale, SC
- NPI
- 1033218607
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 3892 (SC)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-09-21
- Last updated
- 2009-01-02
Practice location
522 Main St N
Allendale, SC 29810-3720
(803) 584-2105