CRYSTAL LYNN WALLENIUS

CLARKSVILLE, TN
NPI1720749708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WI  6001117-15)
Enumeration Date2022-01-03
Last Update Date2023-08-04
Business Address
DR. CRYSTAL LYNN WALLENIUS
2292 DALTON DR STE F
CLARKSVILLE, TN 37043-8961
Phone number: 931-503-1111
Mailing Address
DR. CRYSTAL LYNN WALLENIUS
2292 DALTON DR STE F
CLARKSVILLE, TN 37043-8961
Phone number: 931-503-1111