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Dr. Crystal Lynn Wallenius
General Practice Dentistry in Clarksville, Tennessee
NPI 1720749708

Crystal Lynn Wallenius is a General Practice Dentistry based in Clarksville, TN and is specialized in General Practice. Crystal Lynn Wallenius practices in Clarksville, TN. The NPI Number for Crystal Lynn Wallenius is 1720749708 and holds a License No. 6001117-15 (Tennessee).

The current practice location address for Crystal Lynn Wallenius is 2292 Dalton Dr Ste F, Clarksville, TN and can be reached out via phone at 931-503-1111.

Location: 2292 Dalton Dr Ste F, Clarksville, TN, 37043-8961
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720749708
Provider Name
Crystal Lynn Wallenius
Credential
Provider Entity Type
Individual
Gender
Female
Address
2292 Dalton Dr Ste F, Clarksville, TN, 37043-8961
Phone Number
931-503-1111
Fax Number
Provider Enumeration Date
01/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2292 Dalton Dr Ste F
City
Clarksville
State
Tennessee
Zip
37043-8961
Phone Number
931-503-1111
Fax Number
person
Provider Business Mailing Address Details
Address
2292 Dalton Dr Ste F
City
Clarksville
State
Tennessee
Zip
37043-8961
Phone Number
931-503-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6001117-15 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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