# DEWENTER DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PALM CANYON SMILES DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891490926
- **Authorized official:** ALYSSA DEWENTER DDS (OWNER)
- **Authorized official phone:** (760) 688-7653

## Contact information

- **Practice address:** 67760 E PALM CANYON DR, CATHEDRAL CITY, CA 92234-5472
- **Practice address phone:** (760) 688-7653
- **Practice address fax:** (760) 688-7417
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2023
- **Last updated:** 04/21/2023