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Organization
DEWENTER DENTAL CORPORATION
Active
Organization
DEWENTER DENTAL CORPORATION
Active
Other names
PALM CANYON SMILES DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA DEWENTER DDS (OWNER)
(760) 688-7653
Entity
Organization
Contact information
Practice address
67760 E PALM CANYON DR, CATHEDRAL CITY, CA 92234-5472
(760) 688-7653
(760) 688-7417
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
04/21/2023
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