Dental Board of California
Licensing details for: 20517
Name: Palm Canyon Smiles Dentistry Dental Group of Palm Canyon Smiles Dentistry, Inc.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: Palm Canyon Smiles Dentistry, Inc.
Address of Record
67760 E. Palm Canyon Dr, Ste C
CATHEDRAL CITY CA 92234
Map
License Relationships
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: ZAKLAMA, KARIM MAGID
License/Registration Type: Dentist License
License Number: 61349 Primary Status: Current - Active
Address :
2700 E Workman Ave
WEST COVINA CA 91791-6625
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: DEWENTER, RENE JOSEPH
License/Registration Type: Dentist License
License Number: 108836 Primary Status: Current - Active
Address :
37512 MELROSE DR
CATHEDRAL CITY CA 92234-7726
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: TRAN, ALEXANDER SAM
License/Registration Type: Dentist License
License Number: 62669 Primary Status: Current - Active
Address :
42500 Washington St.
Ste 101
PALM DESERT CA 92211
RIVERSIDE COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MERCER, JUSTIN WILLIAM
License/Registration Type: Dentist License
License Number: 59375 Primary Status: Current - Active
Address :
3150 Case Rd Bldg C
PERRIS CA 92570-5552
RIVERSIDE COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: DHAMA, DEEPIKA S
License/Registration Type: Dentist License
License Number: 49044 Primary Status: Current - Active
Address :
2044 California Ave
CORONA CA 92881-3300
RIVERSIDE COUNTY
