Individual
EMILY MARTIN EWOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
875 OLD CLEMSON HWY, SENECA, SC 29672-8060
(864) 654-5733
Mailing address
118 FOLGER ST, CLEMSON, SC 29631-1304
(864) 650-0090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9147
SC
Other
Enumeration date
06/18/2018
Last updated
10/13/2021
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