# DAN W DEBONIS DDS LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457543712
- **Authorized official:** DR. DAN W DEBONIS DDS (DENTIST)
- **Authorized official phone:** (775) 623-5093

## Contact information

- **Practice address:** 530 MELARKEY ST, WINNEMUCCA, NV 89445
- **Practice address phone:** (775) 623-5093
- **Practice address fax:** (775) 623-9104
- **Mailing address:** 530 MELARKEY ST, WINNEMUCCA, NV 89445
- **Mailing address phone:** (775) 623-5093
- **Mailing address fax:** (775) 623-9104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 536 | NV | Yes |

## Other

- **Enumeration date:** 08/10/2007
- **Last updated:** 08/10/2007