Individual
DR. PAUL R WONSAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
71 LYME RD, HANOVER, NH 03755-1253
(603) 643-3104
Mailing address
71 LYME RD, HANOVER, NH 03755-1253
(603) 643-3104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2531
NH
Other
Enumeration date
03/13/2007
Last updated
02/23/2011
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