Individual
NELS O EWOLDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
944 COUNTRY CLUB RD, YORK, PA 17403-3438
(717) 849-4597
(717) 849-4515
Mailing address
944 COUNTRY CLUB RD, YORK, PA 17403-3438
(717) 849-4597
(717) 849-4515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12007599A
IN
122300000X
Dentist
5947
NE
122300000X
Dentist
938
WY
122300000X
Dentist
Primary
DS035348
PA
122300000X
Dentist
—
IL
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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