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Individual

JAMES DEBONIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
211 PAWLING AVE, TROY, NY 12180-4813
(518) 272-2485
Mailing address
211 PAWLING AVE, TROY, NY 12180-4813

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
031546
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00031546
NY
Enumeration date
08/09/2006
Last updated
07/08/2007
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