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Organization
TANNER WALLACE DMD PA
Active
Organization
TANNER WALLACE DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANNER WALLACE (PRESIDENT)
(603) 643-3509
Entity
Organization
Contact information
Practice address
73 LYME RD, SUITE 3, HANOVER, NH 03755
(603) 643-3509
(603) 643-3597
Mailing address
73 LYME RD, SUITE 3, HANOVER, NH 03755
(603) 643-3509
(603) 643-3597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2292
NH
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
09/17/2026
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