Organization
SHIKHA BANERJEE DDS INC
Active
Other names
Canyon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIKHA BANERJEE DDS (PRESIDENT)
(951) 273-0555
Entity
Organization
Contact information
Practice address
2097 COMPTON AVE., BLDG 1 STE 102, CORONA, CA 92881-6665
(951) 273-0555
(951) 273-1555
Mailing address
2097 COMPTON AVE., BLDG 1 STE 102, CORONA, CA 92881-6665
(951) 273-0555
(951) 273-1555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
01/07/2014
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