Individual
MRS. ALYSSA CATHERINE DEWENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
67760 E PALM CANYON DR, CATHEDRAL CITY, CA 92234-5472
(760) 688-7653
Mailing address
37512 MELROSE DR, CATHEDRAL CITY, CA 92234-7726
(425) 233-2545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
102931
CA
1223G0001X
General Practice Dentistry
102931
CA
Other
Enumeration date
08/02/2018
Last updated
08/23/2024
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