Individual
DR. NATHAN JOHN EWOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
875 OLD CLEMSON HWY, SENECA, SC 29672-8060
(864) 654-5733
Mailing address
875 OLD CLEMSON HWY, SENECA, SC 29672-8060
(864) 654-5733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9444
SC
Other
Enumeration date
11/07/2019
Last updated
03/04/2022
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