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Organization

DESPAIN BOYACK PLLC

Active
Parent organization
BOYACK & DESPAIN PLLC
Other names
Olympic SmileCare, Advanta Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOYACK & DESPAIN PLLC
Authorized official
JARED DESPAIN DDS (OWNER)
(360) 565-5066
Entity
Organization

Contact information

Practice address
321 N SEQUIM AVE STE D, SEQUIM, WA 98382-3686
(360) 683-5700
(360) 683-7132
Mailing address
150 W SEQUIM BAY RD, SEQUIM, WA 98382-8406
(360) 565-5066
(360) 504-2237

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/15/2021
Last updated
04/15/2021
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