Organization
CALVIN L. DESPAIN, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN L DESPAIN DDS (OWNER/DENTIST)
(208) 550-4430
Entity
Organization
Contact information
Practice address
1336 E HUNTER PL, MOSES LAKE, WA 98837-2449
(509) 766-7076
Mailing address
4514 W PENINSULA DR, MOSES LAKE, WA 98837-3031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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