# CALVIN L. DESPAIN, DDS, PLLC

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

## Provider details

- **NPI number:** 1962007682
- **Authorized official:** DR. CALVIN L DESPAIN DDS (OWNER/DENTIST)
- **Authorized official phone:** (208) 550-4430

## Contact information

- **Practice address:** 1336 E HUNTER PL, MOSES LAKE, WA 98837-2449
- **Practice address phone:** (509) 766-7076
- **Mailing address:** 4514 W PENINSULA DR, MOSES LAKE, WA 98837-3031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2020
- **Last updated:** 12/01/2020