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Organization
BANERJEE DENTAL CORPERATION
Active
Organization
BANERJEE DENTAL CORPERATION
Active
Other names
Canyon Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIKHA BANERJEE DDS (CEO)
(951) 273-0555
Entity
Organization
Contact information
Practice address
2097 COMPTON AVE, BLDG 1, STE 102, CORONA, CA 92881-7282
(951) 273-0555
Mailing address
2097 COMPTON AVE, BLDG 1, STE 102, CORONA, CA 92881-7282
(951) 273-0555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53576
CA
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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