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Licensing details for: 11222

Name: BANERJEE DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2097 COMPTON AVENUE BLDG 1 STE 102
CORONA CA 92881
RIVERSIDE county
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Practice Location

2097 COMPTON AVENUE
BLDG 1 SUITE 102
CORONA CA 92881
RIVERSIDE county
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Issuance Date

October 9, 2013

Expiration Date

May 31, 2017

Current Date / Time

June 6, 2025
8:36:5 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: BANERJEE, SHIKHA

License/Registration Type: Dentist License

License Number: 53576 Primary Status: Current - Active

Address :
2097 Compton Ave
Ste102
CORONA CA 92881
RIVERSIDE COUNTY

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