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Licensing details for: 53576

Name: BANERJEE, SHIKHA

License Type: Dentist

Primary Status: Current - Active

Address of Record

2097 Compton Ave
Ste102
CORONA CA 92881
RIVERSIDE county
Map

Issuance Date

July 7, 2005

Expiration Date

May 31, 2027

Current Date / Time

June 7, 2025
5:48:44 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: BANERJEE DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 11222 Primary Status: Cancelled

Address :
2097 COMPTON AVENUE
BLDG 1 SUITE 102
CORONA CA 92881
RIVERSIDE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CANYON DENTAL, OFFICE OF SHIKHA BANERJEE, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 7147 Primary Status: Cancelled

Address :
1561 E. ONTARIO AVE.
STE. 103A
CORONA CA 92883
RIVERSIDE COUNTY

Map

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: CANYON DENTAL, OFFICE OF SHIKHA BANERJEE, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 7147 Primary Status: Cancelled

Address :
1561 E. ONTARIO AVE.
STE. 103A
CORONA CA 92883
RIVERSIDE COUNTY

Map

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