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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
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Issuance Date

June 6, 2023

Expiration Date

January 31, 2027

Current Date / Time

June 5, 2026
9:26:09 PM

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

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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

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