Patanadej Dustin Higaravathn, DDS
Dentist in Canyon Country, CA. Individual provider (NPI-1).
NPI number1104747799
StatusActive
Last updated in NPPESJul 22, 2026
Details
- NPI
- 1104747799
- Entity type
- Individual (NPI-1)
- Name
- Patanadej Dustin Higaravathn
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2026
- Certification date
- Jul 21, 2026
- Last updated
- Jul 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 113467 | CA | Yes |
Practice location
15296 Saddleback RdCanyon Country, CA 91387-4722
Phone 661-233-6610
Mailing address
15296 Saddleback RdCanyon Country, CA 91387-4722
Phone 661-233-6610
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All 13 Dentist providers in Canyon Country · All 386 providers in Canyon Country
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