Calvin L. Despain, Dds, Pllc

NPI #1962007682 in Moses Lake, Washington

Provider Information

NPI Number: 1962007682
Entity Type: Organization
Organization Name: Calvin L. Despain, Dds, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 1, 2020
Last Updated: Dec 1, 2020

Practice Location

Address: 1336 E HUNTER PL
City: Moses Lake
State: Washington
ZIP Code: 98837-2449
Phone: (509) 766-7076

Authorized Official

Name: DR. CALVIN L DESPAIN, DDS
Title: OWNER/DENTIST
Phone: (208) 550-4430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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