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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