| Canyon Dental Associates | |
|
2097 Compton Ave Bldg 1, Ste 102 Corona CA 92881-7282 | |
| (951) 273-0555 | |
| Not Available |
| Full Name | Canyon Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2097 Compton Ave, Corona, California |
| Authorized Official Name and Position | Shikha Banerjee (CEO) |
| Authorized Official Contact | 9512730555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Dental Associates 2097 Compton Ave Bldg 1, Ste 102 Corona CA 92881-7282 Ph: (951) 273-0555 | Canyon Dental Associates 2097 Compton Ave Bldg 1, Ste 102 Corona CA 92881-7282 Ph: (951) 273-0555 |
| NPI Number | 1083031694 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 03/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083031694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 53576 (California) | Primary |
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