Individual
DR. CALVIN DESPAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
203 7TH AVE S, NAMPA, ID 83651-3846
(208) 466-8400
Mailing address
856 W TRINE LOOP, NAMPA, ID 83686-8779
(208) 550-4430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5142
ID
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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