Dental Board of California
Licensing details for: 108836
Name: DEWENTER, RENE JOSEPH
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Credential
Address of Record
37512 MELROSE DR
CATHEDRAL CITY CA 92234-7726
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: RENE DEWENTER, DDS
License/Registration Type: Additional Office Permit
License Number: 82820 Primary Status: Current - Active
Address :
67760 E. Palm Canyon Dr, Ste C
CATHEDRAL CITY CA 92234
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: Palm Canyon Smiles Dentistry Dental Group of Palm Canyon Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20517 Primary Status: Current - Active
Address :
67760 E. Palm Canyon Dr, Ste C
CATHEDRAL CITY CA 92234



