Individual
DR. CARLY JONINA KLASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
201 CROWN POINTE BLVD STE 100, WILLOW PARK, TX 76087-1303
(817) 594-7427
(817) 770-0687
Mailing address
201 CROWN POINTE BLVD STE 100, WILLOW PARK, TX 76087-1303
(817) 594-7427
(817) 770-0687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28221
TX
Other
Enumeration date
07/17/2012
Last updated
10/08/2024
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