| Canyon Dental | |
|
2097 Compton Ave. Bldg 1 Ste 102 Corona CA 92881-6665 | |
| (951) 273-0555 | |
| (951) 273-1555 |
| Full Name | Canyon Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2097 Compton Ave., Corona, California |
| Authorized Official Name and Position | Shikha Banerjee (PRESIDENT) |
| Authorized Official Contact | 9512730555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Dental 2097 Compton Ave. Bldg 1 Ste 102 Corona CA 92881-6665 Ph: (951) 273-0555 | Canyon Dental 2097 Compton Ave. Bldg 1 Ste 102 Corona CA 92881-6665 Ph: (951) 273-0555 |
| NPI Number | 1386980589 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386980589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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